| Bay Ridge Medical Llc | |
|
539 Bay Ridge Pkwy Brooklyn NY 11209-3309 | |
| (718) 759-1950 | |
| (718) 759-1948 |
| Full Name | Bay Ridge Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 539 Bay Ridge Pkwy, Brooklyn, New York |
| Authorized Official Name and Position | Victor Charles Goldbetter (EXECUTOR) |
| Authorized Official Contact | 7187591950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Ridge Medical Llc 539 Bay Ridge Pkwy Brooklyn NY 11209-3309 Ph: (718) 759-1950 | Bay Ridge Medical Llc 539 Bay Ridge Pkwy Brooklyn NY 11209-3309 Ph: (718) 759-1950 |
| NPI Number | 1073892162 |
|---|---|
| Provider Enumeration Date | 08/08/2011 |
| Last Update Date | 08/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073892162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 187344 (New York) | Primary |
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