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Community Medical Disorder P.c.
Prescribing (Medical) Psychologist in Brooklyn, New York
NPI 1538506076

Community Medical Disorder P.c. is a Prescribing (Medical) Psychologist based in Brooklyn, NY and is specialized in Prescribing (Medical). Community Medical Disorder P.c. practices in Brooklyn, NY. The NPI Number for Community Medical Disorder P.c. is 1538506076 and holds a License No. 090294 (New York).

The current practice location address for Community Medical Disorder P.c. is 721 Flushing Ave, Brooklyn, NY and can be reached out via phone at 718-218-6888 and via fax at 718-218-6855.

Location: 721 Flushing Ave, Brooklyn, NY, 11206-4419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538506076
Provider Name
Community Medical Disorder P.c.
Credential
Provider Entity Type
Organization
Address
721 Flushing Ave, Brooklyn, NY, 11206-4419
Phone Number
718-218-6888
Fax Number
718-218-6855
Provider Enumeration Date
05/23/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03345420 05 NY
A400067616 01 NY MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
721 Flushing Ave
City
Brooklyn
State
New York
Zip
11206-4419
Phone Number
718-218-6888
Fax Number
718-218-6855
person
Provider Business Mailing Address Details
Address
721 Flushing Ave
City
Brooklyn
State
New York
Zip
11206-4419
Phone Number
718-218-6888
Fax Number
718-218-6855
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
090294 (New York)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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