Organization
BAY RIDGE MEDICAL CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH J TRICARICO M.D. (PRESIDENT)
(718) 748-3838
Entity
Organization
Contact information
Practice address
420 77TH ST, BROOKLYN, NY 11209-3206
(718) 748-3838
(718) 748-3850
Mailing address
420 77TH ST, BROOKLYN, NY 11209-3206
(718) 748-3838
(718) 748-3850
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
118172
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01637943
—
NY
01
—
042584
AETNA HMO
NY
01
—
0T230P
HIP HMO
NY
01
—
160485
ELDERPLAN
NY
01
—
694611
BLUE CROSS BLUE SHEILD
NY
01
—
83493AF
GHI
NY
01
—
IPO426
CIGNA
NY
01
—
P1596974
OXFORDPLAN
NY
Enumeration date
12/01/2010
Last updated
01/30/2013
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