Organization
BAY RIDGE MED ARTS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRISA MEZORE FNP (OWNER)
(917) 859-7331
Entity
Organization
Contact information
Practice address
7015 3RD AVE, BROOKLYN, NY 11209-1306
(917) 859-7331
Mailing address
7015 3RD AVE, BROOKLYN, NY 11209-1306
(917) 859-7331
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
01/09/2024
Last updated
04/04/2024
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