| Global Trauma Research Inc. | |
|
2329 Nostrand Ave Ste 100 Brooklyn NY 11210-3949 | |
| (800) 461-9350 | |
| (800) 461-9350 |
| Full Name | Global Trauma Research Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2329 Nostrand Ave Ste 100, Brooklyn, New York |
| Authorized Official Name and Position | Florence Saint-jean (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8004619350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Global Trauma Research Inc. 2329 Nostrand Ave Ste 100 Brooklyn NY 11210-3949 Ph: (800) 461-9350 | Global Trauma Research Inc. 2329 Nostrand Ave Ste 100 Brooklyn NY 11210-3949 Ph: (800) 461-9350 |
| NPI Number | 1619495512 |
|---|---|
| Provider Enumeration Date | 08/31/2017 |
| Last Update Date | 02/06/2020 |
| Certification Date | 02/06/2020 |
| Medicare PECOS PAC ID | 2062843097 |
|---|---|
| Medicare Enrollment ID | O20200507001573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619495512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Herlande Penn Durandisse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790937894 PECOS PAC ID: 5597816165 Enrollment ID: I20090623000207 |
| Provider Name | Florence Saint-jean |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306318563 PECOS PAC ID: 3971863317 Enrollment ID: I20250416001875 |
| Provider Name | Alfonso Ferguson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720481930 PECOS PAC ID: 9537678776 Enrollment ID: I20250530001917 |
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