Provider Demographics
NPI:1609955582
Name:OCEAN MEDICAL HEALTH SERVICES INC
Entity Type:Organization
Organization Name:OCEAN MEDICAL HEALTH SERVICES INC
Other - Org Name:OCEAN BEHAVIORAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PIERRE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-NOEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-382-4199
Mailing Address - Street 1:2355 OCEAN AVENUE
Mailing Address - Street 2:APT# 1-G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-3132
Mailing Address - Country:US
Mailing Address - Phone:718-382-4199
Mailing Address - Fax:718-382-4141
Practice Address - Street 1:2355 OCEAN AVENUE
Practice Address - Street 2:APT# 1-G
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3132
Practice Address - Country:US
Practice Address - Phone:718-382-4199
Practice Address - Fax:718-382-4141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02221209Medicaid