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NPI Code Detail

MEDICARE: BISHOP FRANCIS MUGAVERO

MEDICARE: BISHOP FRANCIS MUGAVERO
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
1314000000XSkilled Nursing FacilityNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2017158OTHERNYEMPIRE BC & BS

General Provider Information

NPI Number : 1508852559
Entity Type Code : Organization
Provider Name (Legal Business Name) : BISHOP FRANCIS MUGAVERO
Provider Business Mailing Address
First Line : 155 DEAN ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-2213
Country : US
Telephone Number : 718-694-6715
Fax Number : 718-694-6710
Provider Business Practice Location Address
First Line : 155 DEAN ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-2213
Country : US
Telephone Number : 718-694-6715
Fax Number : 718-694-6710
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. IDA SANTOS
Credential :
Telephone Number : 718-694-6715
Provider Enumeration Date : 09/26/2005
Last Update Date : 07/21/2022

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Directions to “BISHOP FRANCIS MUGAVERO ” Practice Location

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