Provider Demographics
NPI:1801292180
Name:BSD MEDICAL STAFFING LLC
Entity type:Organization
Organization Name:BSD MEDICAL STAFFING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-938-7369
Mailing Address - Street 1:1002 QUENTIN RD
Mailing Address - Street 2:SUITE 3004
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-2228
Mailing Address - Country:US
Mailing Address - Phone:718-938-7369
Mailing Address - Fax:347-230-8790
Practice Address - Street 1:1002 QUENTIN RD
Practice Address - Street 2:SUITE 3004
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2228
Practice Address - Country:US
Practice Address - Phone:718-938-7369
Practice Address - Fax:347-230-8790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic