MEDICARE: BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION

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	261Q00000X	Clinic/Center

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083891329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION

Provider Business Mailing Address
First Line	:	400 PENNSYLVANIA AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-4707
Country	:	US
Telephone Number	:	718-922-2282
Fax Number	:	718-345-2019

Provider Business Practice Location Address
First Line	:	400 PENNSYLVANIA AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-4707
Country	:	US
Telephone Number	:	718-922-2282
Fax Number	:	718-345-2019

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. HARVEY LAWRENCE
Credential	:
Telephone Number	:	718-345-5000

Provider Enumeration Date	:	01/29/2008
Last Update Date	:	12/04/2025

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