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1377 EAST 17TH STREET LLC
NPI 1083341127
Clinic/Center - Mental Health (Including Community Mental Health Center) in Brooklyn, NY

Active since August 08, 2022
3626 BAYVIEW AVE, BROOKLYN, NY 11224(718) 802-8558 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 1377 East 17th Street Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

1377 EAST 17TH STREET LLC (NPI 1083341127), doing business as Angie Wassif, is a healthcare organization registered as a mental health (including community mental health center) in Brooklyn, New York and active in the NPI registry since August 2022. The organization lists Angie Wassif, Director, as its authorized official.

NPPES Registry Identity

NPI1083341127
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business Name1377 EAST 17TH STREET LLC
Location Address3626 BAYVIEW AVEBrooklyn, NY 11224-1647
Mailing Address3626 Bayview AveBrooklyn, NY 11224-1647 · (717) 802-8558
Phone(718) 802-8558
Organization SubpartYes
Authorized OfficialAngie WassifDirector · (717) 802-8558
Enumeration DateAugust 8, 2022
NPPES CertifiedAugust 8, 2022
✔ NPI 1083341127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
3626 BAYVIEW AVE, Brooklyn, NY 11224
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Other Names 1

Doing Business AsAngie Wassif

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 1377 East 17th Street LLC's NPI number?

The NPI number for 1377 East 17th Street LLC is 1083341127. It was assigned to this organization in the NPPES registry on August 8, 2022. The provider is doing business as Angie Wassif.

Where is 1377 East 17th Street LLC located?

1377 East 17th Street LLC is located at 3626 Bayview Ave, Brooklyn, NY 11224. The listed phone number is (718) 802-8558.

What is 1377 East 17th Street LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for 1377 East 17th Street LLC was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.