Organization
BEDFORD STUYVESANT FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NURAH JAHAN ABDUR-RAHMAN (CREDENTIALING COORDIANTOR)
(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
1223G0001X
General Practice Dentistry
Primary
058667
CA
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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