Brooklyn Plaza Medical Center, Inc. | |
650 Fulton St Brooklyn NY 11217-1517 | |
(718) 596-9800 | |
(718) 596-9889 |
Full Name | Brooklyn Plaza Medical Center, Inc. |
---|---|
Speciality | Clinic/Center |
Location | 650 Fulton St, Brooklyn, New York |
Authorized Official Name and Position | Philip Onorato (CEO) |
Authorized Official Contact | 7185969800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Brooklyn Plaza Medical Center, Inc. 650 Fulton St Brooklyn NY 11217-1517 Ph: (718) 596-9800 | Brooklyn Plaza Medical Center, Inc. 650 Fulton St Brooklyn NY 11217-1517 Ph: (718) 596-9800 |
NPI Number | 1336113398 |
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Provider Enumeration Date | 02/15/2006 |
Last Update Date | 09/22/2023 |
Medicare PECOS PAC ID | 7113961178 |
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Medicare Enrollment ID | O20080421000478 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336113398 | NPI | - | NPPES |
0000224501 | Other | AMERICHOICE | |
27556010 | Other | HEALTH PLUS CHILD HEALTH | |
0120218401 | Other | AMERICHOICE | |
40426028484 | Other | FIDELIS | |
000023004 | Other | AMERICHOICE | |
116710101 | Other | HEALTH PLUS CHILD HEALTH | |
251330401 | Other | HEALTH PLUS CHILD HEALTH | |
275780101 | Other | HEALTH PLUS CHILD HEALTH | |
5999757 | Other | GHI | |
000195901 | Other | AMERICHOICE | |
010007902 | Other | AMERICHOICE | |
010223901 | Other | AMERICHOICE | |
204590101 | Other | HEALTH PLUS CHILD HEALTH | |
40426029577 | Other | FIDELIS | |
40426029652 | Other | FIDELIS | |
40426058486 | Other | FIDELIS | |
00357451 | Medicaid | NY | |
2361244 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7001250R (New York) | Primary |
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