Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENICE BURGOS, LMSW
Active Sole ProprietorAdult Mental Health Clinic · BROOKLYN, NY
Registration Details
- NPI Number
- 1174297865
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 5, 2021 (4.7105761310982 yrs)
- Last Updated
- Aug 5, 2021
- License
-
107043 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
760 BROADWAY # 5A206BROOKLYN, NY, 112065383Browse NY providers · Browse ZIP 11206
- Phone
- 7189635893
- Fax
- 7186303138
- Primary Specialty
-
Adult Mental Health Clinic
261QM0850X
Other Adult Mental Health Clinic Providers in BROOKLYN, NY
| Name | Credential | NPI |
|---|---|---|
| DR. KINA CLIETTE | MD | 1598748287 |
| MR. THOMAS J. JOHNSTON | RN | 1972812733 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.