| Bms-isis @ Bristol | |
|
259 Bristol St Brooklyn NY 11212-5540 | |
| (718) 345-5000 | |
| Not Available |
| Full Name | Bms-isis @ Bristol |
|---|---|
| Speciality | Clinic/Center |
| Location | 259 Bristol St, Brooklyn, New York |
| Authorized Official Name and Position | Michelle Everett-oxley (PRESIDENT & CEO) |
| Authorized Official Contact | 7183455000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bms-isis @ Bristol 259 Bristol St Brooklyn NY 11212-5540 Ph: (718) 345-5000 | Bms-isis @ Bristol 259 Bristol St Brooklyn NY 11212-5540 Ph: (718) 345-5000 |
| NPI Number | 1851571392 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 12/04/2025 |
| Certification Date | 12/04/2025 |
| Medicare PECOS PAC ID | 7416903323 |
|---|---|
| Medicare Enrollment ID | O20070219000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851571392 | NPI | - | NPPES |
| 03045883 | Medicaid | NY | |
| 00723253 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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