| C.b.neurology And Sleep Medicine Consulting P.c. | |
|
268 Neal Dow Ave Staten Island NY 10314-3128 | |
| (848) 219-7005 | |
| (347) 770-8011 |
| Full Name | C.b.neurology And Sleep Medicine Consulting P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 268 Neal Dow Ave, Staten Island, New York |
| Authorized Official Name and Position | Chun Bai (PRESIDENT) |
| Authorized Official Contact | 7325083222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C.b.neurology And Sleep Medicine Consulting P.c. 23 Amelia Dr Clark NJ 07066-2929 Ph: (732) 508-3222 | C.b.neurology And Sleep Medicine Consulting P.c. 268 Neal Dow Ave Staten Island NY 10314-3128 Ph: (848) 219-7005 |
| NPI Number | 1891047528 |
|---|---|
| Provider Enumeration Date | 10/04/2012 |
| Last Update Date | 04/29/2013 |
| Medicare PECOS PAC ID | 8123179843 |
|---|---|
| Medicare Enrollment ID | O20090619000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891047528 | NPI | - | NPPES |
| 02440279 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 227032 (New York) | Primary |
| Provider Name | Chun Bai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609861244 PECOS PAC ID: 7810896883 Enrollment ID: I20040323000205 |
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