Individual ProviderHal BrickmanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address23 Linwood Rd S, Port Washington, NY 11050-1413(516) 570-0647PECOS EnrollmentBased on the most recent information from CMS, provider Hal Brickman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1790819860Provider TypeIndividualFull NameBrickman, HalTitleMr.CredentialHAL BRICKMANGenderMaleSole ProprietorYesEnumeration Date3/14/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address23 Linwood Rd S, Port Washington, NY 11050-1413Phone(516) 570-0647FaxUnlisted FaxMailing LocationMailing Address23 Linwood Rd S, Port Washington, NY 11050-1413Phone(516) 570-0647FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense16268New York