Provider Demographics
NPI:1144699539
Name:MARIA-CHRISTINA BICHAY, LCSW
Entity type:Organization
Organization Name:MARIA-CHRISTINA BICHAY, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST; PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA-CHRISTINA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BICHAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:517-285-3963
Mailing Address - Street 1:290 WILLOUGHBY AVE
Mailing Address - Street 2:3L
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-1448
Mailing Address - Country:US
Mailing Address - Phone:517-285-3963
Mailing Address - Fax:
Practice Address - Street 1:153 ROEBLING ST
Practice Address - Street 2:SUITE 5
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-3363
Practice Address - Country:US
Practice Address - Phone:517-285-3963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY083991251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health