Healthcare Provider Details

I. General information

NPI: 1750389581
Provider Name (Legal Business Name): BBB HEALTH RESOURCES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 04/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4018 76TH ST
ELMHURST NY
11373-1018
US

IV. Provider business mailing address

4018 76TH ST
ELMHURST NY
11373-1018
US

V. Phone/Fax

Practice location:
  • Phone: 718-779-6800
  • Fax: 718-779-7892
Mailing address:
  • Phone: 718-779-6800
  • Fax: 718-779-7892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. COLLEEN MARGARET KEEGAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 718-779-6800