Jerome Street Clinic

LBN: Jerome Street Clinic
Jerome Street Clinic is an health care organization with primary practice located at 971 Jerome St , Brooklyn NY 11207-9252. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Jerome Street Clinic can be contacted via phone (718) 272-3300, or through Campanelli, Peter via phone (212) 385-3030.

Contact Information

Primary practice address
971 Jerome St Brooklyn NY 11207-9252
Phone: (718) 272-3300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Campanelli, Peter PSY.D.
Phone: (212) 385-3030

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1164555801
LBN Legal business name Jerome Street Clinic
DBA Doing business as
Authorized official Campanelli, Peter PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164555801 NPPES
New York MEDICAID 01551404

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