COMMUNITY MEDICAL DISORDER P.C. NPI 1538506076

NPI Details

COMMUNITY MEDICAL DISORDER P.C. is a prescribing (medical) psychologist in Brooklyn, NY. The provider is 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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. COMMUNITY MEDICAL DISORDER P.C. NPI is 1538506076. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

721 FLUSHING AVE
1ST FLOOR
BROOKLYN, NY
ZIP 11206-419
Phone: (718) 218-6888
Fax: (718) 218-6855

The provider's authorized official is Herbert Morton Meadow .
The authorized official title is President and has the following contact phone number (718) 218-6888.

The CLIA number assigned to this NPI record is 33D2245227 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/23/2013 and was last updated on 7/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.