| Dr Gennadiy Kvetny, MD | |
|
7554 Metropolitan Ave, Middle Village, NY 11379-2639 | |
| (718) 894-4200 | |
| (718) 894-3900 |
| Full Name | Dr Gennadiy Kvetny |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 7554 Metropolitan Ave, Middle Village, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164482618 | NPI | - | NPPES |
| 01897043 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 208977 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Royal Care Certified Home Health Care, Llc | Flushing, NY | Home health agency |
| Americare Certified Special Services, Inc Chha | Brooklyn, NY | Home health agency |
| New York University Langone Medical Center | New york, NY | Hospital |
| New York-presbyterian/queens | Flushing, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wyckoff Professional Medical Services Pc | 6406748607 | 155 |
| Entity Name | Wyckoff Professional Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659710796 PECOS PAC ID: 6406748607 Enrollment ID: O20040324001805 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gennadiy Kvetny, MD 7554 Metropolitan Ave, Middle Village, NY 11379-2639 Ph: (718) 894-4200 | Dr Gennadiy Kvetny, MD 7554 Metropolitan Ave, Middle Village, NY 11379-2639 Ph: (718) 894-4200 |
Peter Francis Formica, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 84-46 63 Avenue, Middle Village, NY 11379 Phone: 718-428-3112 Fax: 718-428-3112 |