Provider Demographics
NPI:1356093439
Name:BMN MEDICAL P.C.
Entity Type:Organization
Organization Name:BMN MEDICAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BINYOMIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:NEMON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:412-401-0770
Mailing Address - Street 1:333 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-4211
Mailing Address - Country:US
Mailing Address - Phone:718-928-6520
Mailing Address - Fax:347-752-4845
Practice Address - Street 1:333 NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-4211
Practice Address - Country:US
Practice Address - Phone:718-928-6520
Practice Address - Fax:347-752-4845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty