Search › New York › 175T00000X
Jacqueline Bracht
NPI 1972351104 · on the registry since 2024 · sole proprietor
Practice
- Address
- 770 Grand Blvd
Deer Park, NY 11729 - Phone
- (631) 392-4357
- Organisation at this address
- 7 Susan Medical Pc
Behavioral Enhancement & Substance Abuse Medicine Treatment PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 175T00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York