MEDICARE: BROOKLYN COMPREHENSIVE CARE CENTER INC.

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	207R00000X	Internal Medicine Physician	217079	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154355105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOKLYN COMPREHENSIVE CARE CENTER INC.

Provider Business Mailing Address
First Line	:	7608 BAY PKWY STE BC
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-1572
Country	:	US
Telephone Number	:	718-333-2500
Fax Number	:	718-265-2714

Provider Business Practice Location Address
First Line	:	7608 BAY PKWY STE BC
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-1572
Country	:	US
Telephone Number	:	718-333-2500
Fax Number	:	718-265-2714

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ARKADY STAROVOYT
Credential	:
Telephone Number	:	718-333-2500

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	02/06/2024

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