MEDICARE: BAY MEDICAL 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	261Q00000X	Clinic/Center	212806	NY

General Provider Information

NPI Number	:	1265529770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY MEDICAL PC

Provider Business Mailing Address
First Line	:	2273 65TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-4001
Country	:	US
Telephone Number	:
Fax Number	:	718-236-5274

Provider Business Practice Location Address
First Line	:	2273 65TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-4001
Country	:	US
Telephone Number	:	718-236-4970
Fax Number	:	718-236-5274

Authorized Official
Title or Position	:	OFFICE
Name	:	RAMY HANNA
Credential	:	MD
Telephone Number	:	718-236-4970

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	08/22/2020

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Directions to “BAY MEDICAL PC ” Practice Location

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