Organization
BISHOP FRANCIS MUGAVERO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IDA SANTOS (ADMINISTRATOR)
(718) 694-6715
Entity
Organization
Contact information
Practice address
155 DEAN ST, BROOKLYN, NY 11217-2213
(718) 694-6715
(718) 694-6710
Mailing address
155 DEAN ST, BROOKLYN, NY 11217-2213
(718) 694-6715
(718) 694-6710
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01533146
—
NY
01
—
017158
EMPIRE BC & BS
NY
Enumeration date
09/26/2005
Last updated
07/21/2022
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