| Bedford Stuyvesant Family Health Center, Inc. | |
|
1456 Fulton St Brooklyn NY 11216-2505 | |
| (718) 636-4500 | |
| (347) 296-8308 |
| Full Name | Bedford Stuyvesant Family Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1456 Fulton St, Brooklyn, New York |
| Authorized Official Name and Position | Nurah Jahan Abdur-rahman (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7186364500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bedford Stuyvesant Family Health Center, Inc. 1456 Fulton St Brooklyn NY 11216-2505 Ph: (718) 636-4500 | Bedford Stuyvesant Family Health Center, Inc. 1456 Fulton St Brooklyn NY 11216-2505 Ph: (718) 636-4500 |
| NPI Number | 1033178561 |
|---|---|
| Provider Enumeration Date | 03/22/2006 |
| Last Update Date | 03/17/2016 |
| Medicare PECOS PAC ID | 0143361238 |
|---|---|
| Medicare Enrollment ID | O20100322000535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033178561 | NPI | - | NPPES |
| 00730483 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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