| Sj All Medical Pc | |
|
139 N Central Ave Suite 3 Valley Stream NY 11580-3856 | |
| (718) 544-4200 | |
| (718) 544-4201 |
| Full Name | Sj All Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 139 N Central Ave, Valley Stream, New York |
| Authorized Official Name and Position | Ellen Edgar (PRESIDENT) |
| Authorized Official Contact | 7187907530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sj All Medical Pc 1311 Brightwater Ave Apt 18ij Brooklyn NY 11235-5962 Ph: (718) 544-4200 | Sj All Medical Pc 139 N Central Ave Suite 3 Valley Stream NY 11580-3856 Ph: (718) 544-4200 |
| NPI Number | 1750793642 |
|---|---|
| Provider Enumeration Date | 05/27/2014 |
| Last Update Date | 05/27/2014 |
| Medicare PECOS PAC ID | 9830412642 |
|---|---|
| Medicare Enrollment ID | O20150102000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750793642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (New York) | Primary |
| Provider Name | Samuel Apeatu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013939545 PECOS PAC ID: 5991886491 Enrollment ID: I20080122000426 |
| Provider Name | Ellen I Edgar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326343625 PECOS PAC ID: 4486838885 Enrollment ID: I20110408000585 |
| Provider Name | Maja Ilic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255652863 PECOS PAC ID: 8820250335 Enrollment ID: I20120430000341 |
| Provider Name | Clair Cascella |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962777169 PECOS PAC ID: 3375709306 Enrollment ID: I20120719000333 |
| Provider Name | Beth M Silverstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013104660 PECOS PAC ID: 9234389693 Enrollment ID: I20121019000189 |
| Provider Name | Kishan A Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346473071 PECOS PAC ID: 6608003157 Enrollment ID: I20131209001242 |
| Provider Name | Michael Jurkowich |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184868531 PECOS PAC ID: 5395972541 Enrollment ID: I20150120001426 |
| Provider Name | Vesna M Micic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811121502 PECOS PAC ID: 6002940400 Enrollment ID: I20160517001434 |
| Provider Name | Natalya Pozina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699177600 PECOS PAC ID: 9234419532 Enrollment ID: I20161202000589 |
| Provider Name | Svetlana Karshigeyeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558860395 PECOS PAC ID: 7810251873 Enrollment ID: I20180430000937 |
| Provider Name | Nigar Dargah-zada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528475969 PECOS PAC ID: 3375957418 Enrollment ID: I20210201000669 |
| Provider Name | Tamara Goodman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083094080 PECOS PAC ID: 1153668660 Enrollment ID: I20210618000933 |
| Provider Name | James J Sul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508210121 PECOS PAC ID: 8123365509 Enrollment ID: I20211004002335 |
| Provider Name | Arielle Ashley Schwimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487262887 PECOS PAC ID: 0749660462 Enrollment ID: I20220712000478 |
| Provider Name | Bindi A Nia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225551146 PECOS PAC ID: 4385026970 Enrollment ID: I20220728002808 |
| Provider Name | Kattalina Isakov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639693377 PECOS PAC ID: 2769858877 Enrollment ID: I20221014000832 |
| Provider Name | Shulamit Manahimov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497376974 PECOS PAC ID: 0446629554 Enrollment ID: I20221213000877 |
| Provider Name | Supreet K Sahai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538587159 PECOS PAC ID: 6103156260 Enrollment ID: I20231005001474 |
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