Provider Demographics
NPI:1851644058
Name:BEST CARE PEDIATRICS, PC
Entity Type:Organization
Organization Name:BEST CARE PEDIATRICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KINA
Authorized Official - Middle Name:
Authorized Official - Last Name:COULANGES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-257-3232
Mailing Address - Street 1:1180 E 92ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3927
Mailing Address - Country:US
Mailing Address - Phone:718-257-3232
Mailing Address - Fax:
Practice Address - Street 1:1180 E 92ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3927
Practice Address - Country:US
Practice Address - Phone:718-257-3232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY227166208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH85387Medicaid