Organization
BEDFORD HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONNY PHAM (OWNER)
(917) 304-8015
Entity
Organization
Contact information
Practice address
390 NOSTRAND AVE, LOWER LEVEL, BROOKLYN, NY 11216-1478
(917) 304-8015
(212) 202-6384
Mailing address
160-30 78 AVE, FRESH MEADOWS, NY 11366
(917) 304-8015
(212) 202-6384
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2015
Last updated
11/25/2015
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