Provider Demographics
NPI:1740781905
Name:BK MEDICAL CARE P.C
Entity Type:Organization
Organization Name:BK MEDICAL CARE P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER
Authorized Official - Prefix:
Authorized Official - First Name:BABLU
Authorized Official - Middle Name:K
Authorized Official - Last Name:BASAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-615-4333
Mailing Address - Street 1:2000 MCGRAW AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-8070
Mailing Address - Country:US
Mailing Address - Phone:631-615-4333
Mailing Address - Fax:
Practice Address - Street 1:2000 MCGRAW AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-8070
Practice Address - Country:US
Practice Address - Phone:631-615-4333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-23
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty