| Igor Brichkov, MD | |
|
264 Greencroft Ave, Staten Island, NY 10308-3247 | |
| (646) 342-0379 | |
| Not Available |
| Full Name | Igor Brichkov |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 23 Years |
| Location | 264 Greencroft Ave, Staten Island, 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 |
|---|---|---|---|
| 1710162193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 245236 (New York) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 25MA09854200 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centrastate Medical Center | Freehold, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Practice Associates Medical Group | 5890703177 | 1299 |
| Entity Name | Practice Associates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Igor Brichkov, MD 264 Greencroft Ave, Staten Island, NY 10308-3247 Ph: (646) 342-0379 | Igor Brichkov, MD 264 Greencroft Ave, Staten Island, NY 10308-3247 Ph: (646) 342-0379 |
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