| Bedford Stuyvesant Family Health Center | |
|
1456 Fulton St Brooklyn NY 11216-2505 | |
| (718) 636-4500 | |
| (347) 296-8308 |
| Full Name | Bedford Stuyvesant Family Health Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1456 Fulton St, Brooklyn, New York |
| Authorized Official Name and Position | Nurah Jahan Abdur-rahman (CREDENTIALING COORDIANTOR) |
| Authorized Official Contact | 7186364500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bedford Stuyvesant Family Health Center 1456 Fulton St Brooklyn NY 11216-2505 Ph: (718) 636-4500 | Bedford Stuyvesant Family Health Center 1456 Fulton St Brooklyn NY 11216-2505 Ph: (718) 636-4500 |
| NPI Number | 1306395058 |
|---|---|
| Provider Enumeration Date | 09/22/2016 |
| Last Update Date | 09/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306395058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 058667 (California) | Primary |
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