Basic Information
Provider Information
NPI: 1871858787
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BEKAN-HOMAWOO
FirstName: BRIGITTE
MiddleName: EDWIGE
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 14890
Address2:  
City: ALBANY
State: NY
PostalCode: 122124890
CountryCode: US
TelephoneNumber: 5185255634
FaxNumber: 5186494094
Practice Location
Address1: 11 HAMPSTEAD PL N STE 103
Address2:  
City: SARATOGA SPRINGS
State: NY
PostalCode: 128665669
CountryCode: US
TelephoneNumber: 5185837400
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/06/2012
LastUpdateDate: 05/06/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/06/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X280746NYN Allopathic & Osteopathic PhysiciansEmergency Medicine 
208M00000X280746NYN Allopathic & Osteopathic PhysiciansHospitalist 
207Q00000X280746NYY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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