Organization
BAYRIDGE MEDICAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH J TRICARICO MD (PRESIDENT)
(718) 748-3838
Entity
Organization
Contact information
Practice address
420 77TH STREET, BROOKLYN, NY 11209
(718) 748-3838
Mailing address
176 BERTHA PL, STATEN ISLAND, NY 10301-3807
(718) 748-3492
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
118172
NY
Other
Enumeration date
08/20/2006
Last updated
04/09/2009
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