Organization
BROOKLYN PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN GABRIELLA COSTA LCSW (LICENSED CLINICAL SOCIAL WORKER/CEO)
(347) 474-8464
Entity
Organization
Contact information
Practice address
115 IRVING AVE, BROOKLYN, NY 11237-8024
(347) 474-8464
Mailing address
304 MAUJER ST APT 3L, BROOKLYN, NY 11206-1703
(917) 612-5787
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
081378
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02767839
—
NY
Enumeration date
08/08/2014
Last updated
08/08/2014
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