| Washington Ave Medical Office Pc | |
|
778 Washington Avenue Brooklyn NY 11238 | |
| (718) 399-7649 | |
| (718) 872-6295 |
| Full Name | Washington Ave Medical Office Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 778 Washington Avenue, Brooklyn, New York |
| Authorized Official Name and Position | Desmond Browne (MANAGING EMPLOYEE) |
| Authorized Official Contact | 7183997649 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Ave Medical Office Pc 778 Washington Avenue Brooklyn NY 11238 Ph: (718) 399-7649 | Washington Ave Medical Office Pc 778 Washington Avenue Brooklyn NY 11238 Ph: (718) 399-7649 |
| NPI Number | 1295744258 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 08/16/2010 |
| Medicare PECOS PAC ID | 6608056296 |
|---|---|
| Medicare Enrollment ID | O20110215000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295744258 | NPI | - | NPPES |
| 02361397 | Medicaid | NY | |
| 6523984 | Other | NY | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 226726 (New York) | Primary |
| Provider Name | Desmond S Browne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912954819 PECOS PAC ID: 4486567781 Enrollment ID: I20031112000253 |
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