Clark, Brian Thomas
Clark, Brian Thomas is an individual health care provider with primary practice located at 514 49Th St Lmc Sunset Terrace, Brooklyn NY 11220-2010. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Clark, Brian Thomas can be contacted via phone (718) 437-5233.Contact Information
Primary practice address
514 49Th St Lmc Sunset Terrace
Brooklyn NY 11220-2010
Phone: (718) 437-5233
Fax: (718) 633-4256
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 6617 | New York |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 038177 | New York |
Profile Details
NPI number | 1811058761 |
---|---|
LBN Legal business name | Clark, Brian Thomas |
Credentials | L.C.S.W., C.A.S.A.C. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 13th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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