Kris Bevilacqua is a Clinical in Brooklyn, New York. Kris Bevilacqua practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kris Bevilacqua is 1578514964. The last update date is 2007-07-08.
Kris Bevilacqua's current location address is 382 Waverly Ave, Brooklyn, New York. You can contact this provider via phone number 9178223946. The mailing address for Kris Bevilacqua is 382 Waverly Ave, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kris Bevilacqua |
|---|---|
| Address | 382 Waverly Ave, Brooklyn, New York |
| Phone Number | 9178223946 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1578514964 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 382 Waverly Ave |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112381706 |
| Phone Number | 9178223946 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 013798-1 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Kris Bevilacqua by the Centers for Medicare & Medicaid Services?
The Kris Bevilacqua has been issued the NPI (National Provider Identifier) 1578514964 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kris Bevilacqua?
The Kris Bevilacqua is physically situated at 382 Waverly Ave, in the city of Brooklyn, state of NY, with the postal code 112381706.
What is the Kris Bevilacqua's specialty and taxonomy code?
The Kris Bevilacqua's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date was the 1578514964 assigned to Kris Bevilacqua?
The Kris Bevilacqua was issued its 1578514964 on 2006-05-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kris Bevilacqua most recently updated or revised?
The information pertaining to Kris Bevilacqua, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.