MEDICARE: B-MEDICAL HEALTH PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	161539	NY

General Provider Information

NPI Number	:	1134654254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B-MEDICAL HEALTH PC

Provider Business Mailing Address
First Line	:	2964 BRIGHTON 6TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-8532
Country	:	US
Telephone Number	:	718-946-2444
Fax Number	:	718-946-2421

Provider Business Practice Location Address
First Line	:	2964 BRIGHTON 6TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-8532
Country	:	US
Telephone Number	:	718-946-2444
Fax Number	:	718-946-2421

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. SIMON BARKAGAN
Credential	:	MD
Telephone Number	:	718-946-2444

Provider Enumeration Date	:	04/26/2017
Last Update Date	:	04/26/2017

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