| Bedford Medical Family Health Center | |
|
100 Ross St Brooklyn NY 11249-7672 | |
| (718) 387-7628 | |
| Not Available |
| Full Name | Bedford Medical Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Ross St, Brooklyn, New York |
| Authorized Official Name and Position | Ariella Ritvo (OFFICE MANAGER) |
| Authorized Official Contact | 7183877628 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bedford Medical Family Health Center 100 Ross St Brooklyn NY 11249-7672 Ph: (718) 387-7628 | Bedford Medical Family Health Center 100 Ross St Brooklyn NY 11249-7672 Ph: (718) 387-7628 |
| NPI Number | 1295928489 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 02/26/2015 |
| Medicare PECOS PAC ID | 5991694457 |
|---|---|
| Medicare Enrollment ID | O20120404000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295928489 | NPI | - | NPPES |
| 00802699 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Angela Davydov |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407948441 PECOS PAC ID: 6406820661 Enrollment ID: I20040825000548 |
| Provider Name | William D Spielfogel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790767093 PECOS PAC ID: 8628091360 Enrollment ID: I20060109001120 |
| Provider Name | Howard M Friedman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831131952 PECOS PAC ID: 4385659135 Enrollment ID: I20060215000289 |
| Provider Name | Michael E Berry |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1962692152 PECOS PAC ID: 2769536515 Enrollment ID: I20090824000181 |
| Provider Name | Moshe Kerstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831269398 PECOS PAC ID: 6305016247 Enrollment ID: I20110831000669 |
| Provider Name | Jeffrey David Solomon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770680357 PECOS PAC ID: 5698942704 Enrollment ID: I20131029001937 |
| Provider Name | David Rubin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215390224 PECOS PAC ID: 5193062263 Enrollment ID: I20190614002402 |
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