Be Well Primary Health Care Center, LLC
Clinic/Center, Multi-Specialty in Brooklyn, NY. Organization (NPI-2).
Details
- NPI
- 1083623409
- Entity type
- Organization (NPI-2)
- Legal business name
- Be Well Primary Health Care Center, LLC
- Organization subpart
- No
- Enumeration date
- Aug 5, 2006
- Certification date
- May 5, 2026
- Last updated
- May 5, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | 7001111R | NY | Yes |
Practice location
3007 Farragut RoadBrooklyn, NY 11210-2549
Phone 718-434-0711 · Fax 718-434-0712
Mailing address
3007 Farragut RdBrooklyn, NY 11210-1537
Phone 718-434-0711 · Fax 718-434-0712
Other practice locations
Brooklyn, NY 11217-2008
Phone 347-915-1530 · Fax 718-434-0722
Brooklyn, NY 11213-1125
Phone 347-915-1411
Authorized official
Yevgeniy Stepankovskiy
Ceo
7182531582
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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