| Dr Konstantin Ozerinsky, | |
|
234 E 149th St, Bronx, NY 10451-5504 | |
| (347) 307-5111 | |
| Not Available |
| Full Name | Dr Konstantin Ozerinsky |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 10 Years |
| Location | 234 E 149th St, Bronx, 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 |
|---|---|---|---|
| 1104276906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | MD468714 (Pennsylvania) | Primary |
| 207R00000X | Internal Medicine | MD468714 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Nazareth Hospital | Philadelphia, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trinity Health Mid-atlantic Medical Group | 7416861885 | 349 |
| Entity Name | Trinity Health Mid-atlantic Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972982361 PECOS PAC ID: 7416861885 Enrollment ID: O20040326000613 |
| Entity Name | Nazareth Physician Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285150458 PECOS PAC ID: 0941229017 Enrollment ID: O20171026001610 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Konstantin Ozerinsky, 2601 Holme Ave, Philadelphia, PA 19152-2007 Ph: (215) 335-6562 | Dr Konstantin Ozerinsky, 234 E 149th St, Bronx, NY 10451-5504 Ph: (347) 307-5111 |
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