| Aleksandra Zagorin, NP | |
|
4802 10th Ave, Maimonides Medical Center Geriatric Division, Brooklyn, NY 11219-2916 | |
| (718) 283-7071 | |
| Not Available |
| Full Name | Aleksandra Zagorin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 4802 10th Ave, Brooklyn, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316909195 | NPI | - | NPPES |
| P3165982 | Other | NY | OXFORD PROVIDER ID |
| 02421992 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | F340559-1 (New York) | Primary |
| Entity Name | Maimonides Faculty Practice Plan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597 |
| Entity Name | Boro Park Operating Co Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427356930 PECOS PAC ID: 3577751320 Enrollment ID: O20110912000152 |
| Mailing Address | Practice Location Address |
|---|---|
| Aleksandra Zagorin, NP 4802 10th Ave, Maimonides Medical Center Geriatrics Division, Brooklyn, NY 11219-2844 Ph: (718) 283-7071 | Aleksandra Zagorin, NP 4802 10th Ave, Maimonides Medical Center Geriatric Division, Brooklyn, NY 11219-2916 Ph: (718) 283-7071 |
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