Mmc Ob-Gyn Faculty Practice Plan | Brooklyn, NY • PECOS Search

Mmc Ob-Gyn Faculty Practice Plan

Specialist

Other Service Providers

6208 4th Ave, Brooklyn, NY 11220-4616

PECOS Enrollment

Based on the most recent information from CMS, provider Mmc Ob-Gyn Faculty Practice Plan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1306843388
Provider Type
Organization
Full Name
Mmc Ob-Gyn Faculty Practice Plan

Subpart
No
Enumeration Date
7/5/2005
Last Updated
5/26/2015

Contact Information

Practice Location

6208 4th Ave, Brooklyn, NY 11220-4616

(718) 283-8468

Mailing Location

Gpo Box 27360, New York, NY 10087-0001

Unlisted Fax

Authorized Official

Falcone, Victoria (Business Manager)

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer