Organization
BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P. C.
Active
Other names
Bay Ridge Pulmonary Associates PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY J BASTI MD (PRESIDENT)
(718) 748-8282
Entity
Organization
Contact information
Practice address
648 BAY RIDGE PKWY, BROOKLYN, NY 11209-3330
(718) 748-8282
(718) 836-8113
Mailing address
648 BAY RIDGE PKWY, BROOKLYN, NY 11209-3330
(718) 748-8282
(718) 836-8113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
10/16/2006
Last updated
12/18/2013
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