| Mr Ofer Haidatov, FNP | |
|
7536 Bell Blvd Apt 6b, Oakland Gardens, NY 11364-3434 | |
| (646) 898-7422 | |
| Not Available |
| Full Name | Mr Ofer Haidatov |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 7536 Bell Blvd Apt 6b, Oakland Gardens, 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 |
|---|---|---|---|
| 1487265922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 346340 (New York) | Primary |
| Entity Name | Pain Physicians Ny Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538465497 PECOS PAC ID: 3870779143 Enrollment ID: O20110523000021 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ofer Haidatov, FNP 7536 Bell Blvd Apt 6b, Oakland Gardens, NY 11364-3434 Ph: (646) 898-7422 | Mr Ofer Haidatov, FNP 7536 Bell Blvd Apt 6b, Oakland Gardens, NY 11364-3434 Ph: (646) 898-7422 |
Andrea Carolina Ibanez Arteaga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6712 218th St Apt 1a, Oakland Gardens, NY 11364 Phone: 718-962-4088 | |
Yeon Sil Seong, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22417a 69th Ave, Oakland Gardens, NY 11364 Phone: 480-213-3507 | |
Naveen Singh, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22238 Garland Dr, Oakland Gardens, NY 11364 Phone: 646-256-4580 | |
Elnoton Kurayev, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7524 Bell Blvd Apt 5a, Oakland Gardens, NY 11364 Phone: 347-481-7566 | |
Kevin Avila Barrios, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21109 73rd Ave # A, Oakland Gardens, NY 11364 Phone: 516-559-2385 | |
Ariel Zirkiyev, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22424 Union Tpke Apt 3p, Oakland Gardens, NY 11364 Phone: 347-970-9020 |