Prime Care On The Bay Llc in Brooklyn - Primary Care
Prime Care On The Bay Llc - NPI 1023297694
Prime Care On The Bay Llc is a Primary Care in Brooklyn, New York. Prime Care On The Bay Llc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Prime Care On The Bay Llc is 1023297694. The last update date is 2007-10-31.
Prime Care On The Bay Llc's current location address is 1711 Sheepshead Bay Rd, Brooklyn, New York. You can contact this provider via phone number 7183328002 and fax number 7183328006. The mailing address for Prime Care On The Bay Llc is 1711 Sheepshead Bay Rd, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prime Care On The Bay Llc |
|---|---|
| Address | 1711 Sheepshead Bay Rd, Brooklyn, New York |
| Phone Number | 7183328002 |
| Fax Number | 7183328006 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Kadymoff Eldar |
| Credentials | D.O. |
| Telephone Number | 7183328002 |
NPI Number Detail
| NPI Number | 1023297694 |
|---|---|
| Provider Enumeration Date | 2007-10-30 |
| Last Updated Date | 2007-10-31 |
Provider Mailing Address Detail
| Address | 1711 Sheepshead Bay Rd |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112353651 |
| Phone Number | 7183328002 |
| Fax Number | 7183328006 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 7001106R |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2426653 | NY | -- |
Post Comment/ Review Below
What is the Prime Care On The Bay Llc's 1023297694?
The Prime Care On The Bay Llc's NPI (National Provider Identifier) Number is 1023297694. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Prime Care On The Bay Llc?
The Prime Care On The Bay Llc is physically situated at 1711 Sheepshead Bay Rd, in the city of Brooklyn, state of NY, with the postal code 112353651.
What is Prime Care On The Bay Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Prime Care On The Bay Llc's area of specialization is Primary Care, and the corresponding taxonomy code that categorizes this field of practice is 261Qp2300X.
On what date did the Prime Care On The Bay Llc receive the assignment of its 1023297694 from the Centers for Medicare & Medicaid Services?
The Prime Care On The Bay Llc was issued its 1023297694 by the Centers for Medicare & Medicaid Services on 2007-10-30.
When was the information related to Prime Care On The Bay Llc most recently updated or refreshed?
The details pertaining to the Prime Care On The Bay Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-31.