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Contact Information

BAY RIDGE MEDICAL GROUP, PLLC
7404 5TH AVE
BROOKLYN, NY11209-2704
 Phone: 929-415-8856
 Fax: 718-233-3165
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for BAY RIDGE MEDICAL GROUP, PLLC

NPI Number 1245097989
LBN Legal business name BAY RIDGE MEDICAL GROUP, PLLC
Authorized official JOHN LEE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/29/2024
Last updated 11/21/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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