Organization
BROOKLYN BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MODDY H KILUVIA M.D. (M.D.)
(718) 456-5200
Entity
Organization
Contact information
Practice address
228 MONTROSE AVE, BROOKLYN, NY 11206-2722
(718) 456-5200
Mailing address
228 MONTROSE AVE, BROOKLYN, NY 11206-2722
(718) 456-5200
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
232898
NY
Other
Enumeration date
03/14/2011
Last updated
03/15/2011
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