| Prieto Medical Practice | |
|
1638 Coddington Rd Brooktondale NY 14817-9542 | |
| (510) 292-1957 | |
| (510) 292-1957 |
| Full Name | Prieto Medical Practice |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1638 Coddington Rd, Brooktondale, New York |
| Authorized Official Name and Position | Helena Prieto (OWNER, PHYSICIAN) |
| Authorized Official Contact | 5102921957 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prieto Medical Practice 1638 Coddington Rd Brooktondale NY 14817-9542 Ph: (510) 292-1957 | Prieto Medical Practice 1638 Coddington Rd Brooktondale NY 14817-9542 Ph: (510) 292-1957 |
| NPI Number | 1952191371 |
|---|---|
| Provider Enumeration Date | 05/08/2025 |
| Last Update Date | 05/08/2025 |
| Certification Date | 05/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952191371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |