Provider Demographics
NPI:1740420942
Name:BEHAVIORAL MEDICAL RESEARCH OF STATEN ISLAND, P.C.
Entity Type:Organization
Organization Name:BEHAVIORAL MEDICAL RESEARCH OF STATEN ISLAND, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BREVING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-351-8100
Mailing Address - Street 1:500 SEAVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-3403
Mailing Address - Country:US
Mailing Address - Phone:718-351-8100
Mailing Address - Fax:718-351-4560
Practice Address - Street 1:500 SEAVIEW AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-3403
Practice Address - Country:US
Practice Address - Phone:718-351-8100
Practice Address - Fax:718-351-4560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-27
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty