1215974183 NPI number — BGR SERVICES INC.

Table of content: MRS. MARIA ELIZABETH KAPPEL MSW, PLCSW (NPI 1477759157)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215974183 NPI number — BGR SERVICES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BGR SERVICES INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215974183
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/08/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
925 BROWERS POINT BR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WOODMERE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11598-1735
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-295-0817
Provider Business Mailing Address Fax Number:
516-295-0817

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7 DEBEVOISE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11206-4101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-388-5950
Provider Business Practice Location Address Fax Number:
718-388-5994
Provider Enumeration Date:
06/01/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DELBRUNE
Authorized Official First Name:
VLADIMIR
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING DIRECTOR
Authorized Official Telephone Number:
718-328-2605

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  060811567 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 02679454 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".