OrganizationActive
1377 East 17th Street LLC
NPI 1083341127 · Mental Health Clinic/Center (Including Community Mental Health Center) · Brooklyn, NY
Provider details
- NPI number
- 1083341127
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- 1377 East 17th Street LLC
- Authorized official
- Angie Wassif, Director
Mailing address
3626 Bayview Ave
Brooklyn, NY 11224-1647
Registry dates
- Enumerated
- 2022-08-08
- Last updated
- 2022-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.