| Bridge To Health Medical P.c | |
|
2565 E 17th St Brooklyn NY 11235-3515 | |
| (347) 598-4898 | |
| Not Available |
| Full Name | Bridge To Health Medical P.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 2565 E 17th St, Brooklyn, New York |
| Authorized Official Name and Position | Ilya Smuglin (PRESIDENT) |
| Authorized Official Contact | 3475984898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge To Health Medical P.c 2565 E 17th St Brooklyn NY 11235-3515 Ph: (347) 598-4898 | Bridge To Health Medical P.c 2565 E 17th St Brooklyn NY 11235-3515 Ph: (347) 598-4898 |
| NPI Number | 1982888392 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 12/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982888392 | NPI | - | NPPES |
| 02754350 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 221943 (New York) | Primary |
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