Provider Demographics
NPI:1154976876
Name:BN MEDICINE PC
Entity type:Organization
Organization Name:BN MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-564-8160
Mailing Address - Street 1:4403 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-1604
Mailing Address - Country:US
Mailing Address - Phone:212-206-8000
Mailing Address - Fax:718-414-1105
Practice Address - Street 1:752 SAINT NICHOLAS AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-4002
Practice Address - Country:US
Practice Address - Phone:212-206-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care