Beautiful Mind Medical, Pc in Brooklyn - Prescribing (medical)
Beautiful Mind Medical, Pc - NPI 1790952570
Beautiful Mind Medical, Pc is a Prescribing (medical) in Brooklyn, New York. Beautiful Mind Medical, Pc practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for Beautiful Mind Medical, Pc is 1790952570. The last update date is 2008-05-12.
Beautiful Mind Medical, Pc's current location address is 2218 Kimball St, Brooklyn, New York. You can contact this provider via phone number 7182531087 and fax number 7182537774. The mailing address for Beautiful Mind Medical, Pc is 2218 Kimball St, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beautiful Mind Medical, Pc |
|---|---|
| Address | 2218 Kimball St, Brooklyn, New York |
| Phone Number | 7182531087 |
| Fax Number | 7182537774 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHISICIAN |
|---|---|
| Authorized Official Name | Chernov Valeriy |
| Credentials | M.D. |
| Telephone Number | 7182531087 |
NPI Number Detail
| NPI Number | 1790952570 |
|---|---|
| Provider Enumeration Date | 2008-05-12 |
| Last Updated Date | 2008-05-12 |
Provider Mailing Address Detail
| Address | 2218 Kimball St |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112345103 |
| Phone Number | 7182531087 |
| Fax Number | 7182537774 |
Provider's Primary Taxonomy Detail
| Speciality | Prescribing (medical) |
|---|---|
| Taxonomy | 103Tp0016X |
| Licence No | 232633 |
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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 establis |
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What is the unique identification code assigned to Beautiful Mind Medical, Pc by the Centers for Medicare & Medicaid Services?
The Beautiful Mind Medical, Pc has been issued the NPI (National Provider Identifier) 1790952570. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Beautiful Mind Medical, Pc?
The Beautiful Mind Medical, Pc is physically situated at 2218 Kimball St, in the city of Brooklyn, state of NY, with the postal code 112345103.
What is Beautiful Mind Medical, Pc's area of expertise and its corresponding taxonomy classification?
The Beautiful Mind Medical, Pc's field of specialization is Prescribing (medical), and it falls under the taxonomy code 103Tp0016X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1790952570 to Beautiful Mind Medical, Pc?
The Centers for Medicare & Medicaid Services assigned the 1790952570 to Beautiful Mind Medical, Pc on 2008-05-12.
When was the information regarding Beautiful Mind Medical, Pc most recently updated?
The details pertaining to the Beautiful Mind Medical, Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-05-12.
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