| Callen-lorde Satellite At Brooklyn Community Pride Center | |
|
1561 Bedford Ave Ste Groundb Brooklyn NY 11225-1306 | |
| (212) 271-7200 | |
| Not Available |
| Full Name | Callen-lorde Satellite At Brooklyn Community Pride Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1561 Bedford Ave Ste Groundb, Brooklyn, New York |
| Authorized Official Name and Position | Marc Murphy (MANAGER OF COMPLIANCE AND RISK) |
| Authorized Official Contact | 2122717191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Callen-lorde Satellite At Brooklyn Community Pride Center 356 W 18th St New York NY 10011-4401 Ph: (212) 271-7200 | Callen-lorde Satellite At Brooklyn Community Pride Center 1561 Bedford Ave Ste Groundb Brooklyn NY 11225-1306 Ph: (212) 271-7200 |
| NPI Number | 1700516135 |
|---|---|
| Provider Enumeration Date | 06/17/2022 |
| Last Update Date | 10/12/2023 |
| Medicare PECOS PAC ID | 1254223217 |
|---|---|
| Medicare Enrollment ID | O20240102002441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700516135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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