Provider Demographics
NPI:1134100837
Name:MEDICAL STRESS RELIEF, P.C.
Entity type:Organization
Organization Name:MEDICAL STRESS RELIEF, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VALENTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAGIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-946-2481
Mailing Address - Street 1:MEDICAL STRESS RELIEF, P.C.
Mailing Address - Street 2:3101 OCEAN PARKWAY, SUITE 1A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235
Mailing Address - Country:US
Mailing Address - Phone:718-946-2481
Mailing Address - Fax:718-266-5346
Practice Address - Street 1:MEDICAL STRESS RELIEF, P.C.
Practice Address - Street 2:3101 OCEAN PARKWAY, SUITE 1A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235
Practice Address - Country:US
Practice Address - Phone:718-946-2481
Practice Address - Fax:718-266-5346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-09
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2092831Medicaid
NY2092831Medicaid