| Baisley Medical Services Pc | |
|
321 Pennsylvania Ave Suite 1 Brooklyn NY 11207-4101 | |
| (718) 484-8985 | |
| (718) 484-8986 |
| Full Name | Baisley Medical Services Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 321 Pennsylvania Ave, Brooklyn, New York |
| Authorized Official Name and Position | Cathy Delerme-pagan (ATTENDING PHYSICIAN) |
| Authorized Official Contact | 7184848985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baisley Medical Services Pc 20215 46th Rd Bayside NY 11361-3059 Ph: (646) 460-2959 | Baisley Medical Services Pc 321 Pennsylvania Ave Suite 1 Brooklyn NY 11207-4101 Ph: (718) 484-8985 |
| NPI Number | 1114176864 |
|---|---|
| Provider Enumeration Date | 09/17/2008 |
| Last Update Date | 01/25/2016 |
| Medicare PECOS PAC ID | 9830257492 |
|---|---|
| Medicare Enrollment ID | O20081027000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114176864 | NPI | - | NPPES |
| 02458597 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 198983 (New York) | Primary |
| Provider Name | Cathy Delerme-pagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891733713 PECOS PAC ID: 9638179336 Enrollment ID: I20070103000123 |
| Provider Name | Maheshkumar G Baladaniya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578075255 PECOS PAC ID: 6709140551 Enrollment ID: I20180503001088 |
| Provider Name | Olga Yushuvayeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013579614 PECOS PAC ID: 0840623997 Enrollment ID: I20191204001854 |
| Provider Name | Cecile A Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912568551 PECOS PAC ID: 7416342803 Enrollment ID: I20220322001644 |
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