Provider Demographics
NPI:1275722340
Name:BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION
Entity Type:Organization
Organization Name:BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION
Other - Org Name:BMS @ GENESIS
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 1:360 SNEDIKER AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-4512
Mailing Address - Country:US
Mailing Address - Phone:646-459-9400
Mailing Address - Fax:646-459-9449
Practice Address - Street 1:360 SNEDIKER AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-4512
Practice Address - Country:US
Practice Address - Phone:646-459-9400
Practice Address - Fax:646-459-9449
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-15
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00723253Medicaid
NY331950Medicare Oscar/Certification