Provider Demographics
NPI:1083891329
Name:BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION
Entity Type:Organization
Organization Name:BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION
Other - Org Name:BMS - SCHOOL BASED HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-345-5000
Mailing Address - Street 1:400 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-4707
Mailing Address - Country:US
Mailing Address - Phone:718-922-2282
Mailing Address - Fax:718-345-2019
Practice Address - Street 1:400 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-4707
Practice Address - Country:US
Practice Address - Phone:718-922-2282
Practice Address - Fax:718-345-2019
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-29
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00723253Medicaid
NY331836Medicare PIN