MEDICARE: BRIGITTE EDWIGE BEKAN-HOMAWOO M.D.

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	207P00000X	Emergency Medicine Physician	280746	NY
2	208M00000X	Hospitalist Physician	280746	NY
3	207Q00000X	Family Medicine Physician	280746	NY

General Provider Information

NPI Number	:	1871858787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIGITTE EDWIGE BEKAN-HOMAWOO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 14890
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12212-4890
Country	:	US
Telephone Number	:	518-525-5634
Fax Number	:	518-649-4094

Provider Business Practice Location Address
First Line	:	11 HAMPSTEAD PL N STE 103
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-5669
Country	:	US
Telephone Number	:	518-583-7400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2012
Last Update Date	:	05/06/2021

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