| Imad John Bakoss | |
|
2165 71st St Brooklyn NY 11204-5526 | |
| (718) 621-7100 | |
| (718) 621-7103 |
| Full Name | Imad John Bakoss |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 2165 71st St, Brooklyn, New York |
| Authorized Official Name and Position | Imad J Bakoss (OWNER) |
| Authorized Official Contact | 7186217100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imad John Bakoss 2165 71st St Brooklyn NY 11204-5526 Ph: (718) 621-7100 | Imad John Bakoss 2165 71st St Brooklyn NY 11204-5526 Ph: (718) 621-7100 |
| NPI Number | 1174744221 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 09/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174744221 | NPI | - | NPPES |
| 00271187 | Medicaid | NY |
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