Bedford Avenue Clinic | |
1669 Bedford Avenue Bedford Avenue Clinic Brooklyn NY 11225-2009 | |
(855) 681-8700 | |
(718) 299-1420 |
Full Name | Bedford Avenue Clinic |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1669 Bedford Avenue, Brooklyn, New York |
Authorized Official Name and Position | Adam K. Lipton (VP INFO/PRACTICE MGMT SYSTEMS) |
Authorized Official Contact | 9143842375 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bedford Avenue Clinic Po Box 5036 White Plains NY 10602-5036 Ph: (914) 734-8800 | Bedford Avenue Clinic 1669 Bedford Avenue Bedford Avenue Clinic Brooklyn NY 11225-2009 Ph: (855) 681-8700 |
NPI Number | 1487137386 |
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Provider Enumeration Date | 09/07/2018 |
Last Update Date | 03/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487137386 | NPI | - | NPPES |
W38731 | Other | NY | GROUP MEDICARE |
00473038 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 5901200R (New York) | Primary |
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