Revived Medical Ipa Llc is a Counselor Clinic in Brooklyn, New York. It is located at 1329 E 17th St, Brooklyn, NY and its contact number is 917-584-1409. The authorized person for Revived Medical Ipa Llc is Ilya Kiblitsky
who is Sole Member of the clinic and his/her contact number is 917-584-1409.
Revived Medical Ipa Llc Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Revived Medical Ipa Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Revived Medical Ipa Llc |
| Specialization: | Mental Health Counselor |
| Clinic Address: | 1329 E 17th St, Brooklyn,
New York, 11230-6052 |
| Phone: | 917-584-1409 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Ilya Kiblitsky |
| Position: | Sole Member |
| Contact Number: | 917-584-1409 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Revived Medical Ipa Llc clinic are as mentioned below.
| NPI Number: | 1912644972 |
| NPI Enumeration Date: | 19 May, 2022 |
| NPI Last Update On: | 19 May, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Revived Medical Ipa Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychiatry | | | Primary | |
| Mental Health | | | Secondary | |
| Psychologist | | | Secondary | |
| Physical Therapist | | | Secondary | |
| Occupational Therapist | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Revived Medical Ipa Llc
1329 E 17th St,
Brooklyn, New York |
| Zip: | 11230-6052 |
| Phone Number: | -- |
Patients can reach Revived Medical Ipa Llc at
1329 E 17th St, Brooklyn, New York or can
call to book an appointment on 917-584-1409.
*
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.