| South Brooklyn Medical Administrative Services, Inc. | |
|
685 3rd Ave Brooklyn NY 11232-1108 | |
| (718) 788-2594 | |
| (718) 788-5848 |
| Full Name | South Brooklyn Medical Administrative Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 685 3rd Ave, Brooklyn, New York |
| Authorized Official Name and Position | Alexis Bosco (ADMINISTRATOR) |
| Authorized Official Contact | 7187882594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Brooklyn Medical Administrative Services, Inc. 685 3rd Ave Brooklyn NY 11232-1108 Ph: (718) 788-2594 | South Brooklyn Medical Administrative Services, Inc. 685 3rd Ave Brooklyn NY 11232-1108 Ph: (718) 788-2594 |
| NPI Number | 1114093523 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2466528856 |
|---|---|
| Medicare Enrollment ID | O20200106002218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114093523 | NPI | - | NPPES |
| 02737286 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 7001121R (New York) | Primary |
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