OrganizationBay Park Medical, PcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address348 13th St, Suite 201, Brooklyn, NY 11215-6177(718) 636-0335PECOS EnrollmentBased on the most recent information from CMS, provider Bay Park Medical, Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:58 AM.Profile DetailsProvider ID1740360585Provider TypeOrganizationFull NameBay Park Medical, PcSubpartNoEnumeration Date10/16/2006Last Updated11/8/2011Contact InformationPractice LocationPractice Address348 13th St, Suite 201, Brooklyn, NY 11215-6177Phone(718) 636-0335Fax(718) 783-6582Mailing LocationMailing Address348 13th St, Suite 201, Brooklyn, NY 11215-6177Phone(718) 636-0335Fax(718) 783-6582Authorized OfficialNameBerlin, Arnold I (Medical Director)Phone(718) 636-0335Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense6027057New YorkProvider IdentifiersIDDescriptionIssuerID01480675DescriptionMedicaidIssuerUnlistedNew York