Organization
BRIDGEVIEW NEUROMED CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONGMING MAO M.D (PRESIDENT)
(718) 375-3738
Entity
Organization
Contact information
Practice address
829 57TH ST, 5FL, BROOKLYN, NY 11220-3677
(718) 375-3738
(718) 686-0188
Mailing address
829 57TH ST, 5FL, BROOKLYN, NY 11220-3677
(718) 375-3738
(718) 686-0188
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
233817
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02758881
—
NY
Enumeration date
01/13/2012
Last updated
01/13/2012
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