| Bms @ Genesis | |
|
360 Snediker Ave Brooklyn NY 11207-4512 | |
| (646) 459-9400 | |
| (646) 459-9449 |
| Full Name | Bms @ Genesis |
|---|---|
| Speciality | Clinic/Center |
| Location | 360 Snediker Ave, Brooklyn, New York |
| Authorized Official Name and Position | Harvey Lawrence (PRESIDENT & CEO) |
| Authorized Official Contact | 7183455000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bms @ Genesis 360 Snediker Ave Brooklyn NY 11207-4512 Ph: (646) 459-9400 | Bms @ Genesis 360 Snediker Ave Brooklyn NY 11207-4512 Ph: (646) 459-9400 |
| NPI Number | 1275722340 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 04/25/2022 |
| Medicare PECOS PAC ID | 7416903323 |
|---|---|
| Medicare Enrollment ID | O20050323001353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275722340 | NPI | - | NPPES |
| 00723253 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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