Organization
KINGSBORO PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANJULA VIKAS M.D. (PSYCHIATRIST)
(718) 221-7216
Entity
Organization
Contact information
Practice address
309 MAYFAIR DR N, BROOKLYN, NY 11234-6715
(718) 251-5639
Mailing address
309 MAYFAIR DR N, BROOKLYN, NY 11234-6715
(718) 251-5639
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
180334
NY
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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