1377 East 17th Street LLC
1377 East 17th Street LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Brooklyn, New York. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3626 Bayview AveBrooklyn, NY 11224-1647
Phone: (718) 802-8558
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1083341127 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | 1377 East 17th Street LLC |
| Authorized official | Angie Wassif — Director · (717) 802-8558 |
| Other names | Angie Wassif |
| NPI enumerated | August 8, 2022 |
| Last updated in NPPES | August 8, 2022 |
| Certification date | August 8, 2022 |
| Mailing address | 3626 Bayview Ave, Brooklyn, NY 11224-1647 |
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