| Bay Ridge Family Medical Doctor P.c | |
|
364 86th St Brooklyn NY 11209-5002 | |
| (718) 845-8686 | |
| (718) 845-8688 |
| Full Name | Bay Ridge Family Medical Doctor P.c |
|---|---|
| Speciality | Family Medicine |
| Location | 364 86th St, Brooklyn, New York |
| Authorized Official Name and Position | Nancy S Yang (M.D) |
| Authorized Official Contact | 7187458686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Ridge Family Medical Doctor P.c 415 Little Clove Rd Staten Island NY 10301-4126 Ph: (718) 845-8686 | Bay Ridge Family Medical Doctor P.c 364 86th St Brooklyn NY 11209-5002 Ph: (718) 845-8686 |
| NPI Number | 1730342932 |
|---|---|
| Provider Enumeration Date | 07/08/2008 |
| Last Update Date | 01/31/2014 |
| Medicare PECOS PAC ID | 6800941550 |
|---|---|
| Medicare Enrollment ID | O20090901000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730342932 | NPI | - | NPPES |
| 209272 | Other | NY | OTHER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 209272 (New York) | Primary |
| Provider Name | Nancy S Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407005556 PECOS PAC ID: 4486842739 Enrollment ID: I20101230000572 |
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