MEDICARE: HOPE FOR TOMORROW MEDICAL CONSULTATION LLC

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1891398780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE FOR TOMORROW MEDICAL CONSULTATION LLC

Provider Business Mailing Address
First Line	:	5951 RIVERDALE AVE UNIT 700
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10471-4317
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	323 WINTHROP ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-3813
Country	:	US
Telephone Number	:	917-767-4937
Fax Number	:

Authorized Official
Title or Position	:	NP/DIRECTOR
Name	:	DUKE BAILEY
Credential	:
Telephone Number	:	917-767-4937

Provider Enumeration Date	:	11/21/2020
Last Update Date	:	11/06/2023

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