Organization
BEDFORD STUYVESANT FAMILY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NURAH JAHAN ABDUR-RAHMAN (CREDENTIALING COORDINATOR)
(718) 636-4500
Entity
Organization
Contact information
Practice address
1456 FULTON ST, BROOKLYN, NY 11216-2505
(718) 636-4500
(347) 296-8308
Mailing address
1456 FULTON ST, BROOKLYN, NY 11216-2505
(718) 636-4500
(347) 296-8308
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00730483
—
NY
Enumeration date
03/22/2006
Last updated
03/17/2016
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