| Wyckoff Heights Medical Services Pc | |
|
374 Stockholm St, Brooklyn, NY 11237 | |
| (718) 963-6485 | |
| (718) 963-6793 |
| Full Name | Wyckoff Heights Medical Services Pc |
|---|---|
| Type | Facility |
| Speciality | Surgery |
| Location | 374 Stockholm St, Brooklyn, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700824372 | NPI | - | NPPES |
| 03299167 | Medicaid | NY |
| Provider Name | David Robbins |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215024633 PECOS PAC ID: 6103723804 Enrollment ID: I20031218000796 |
| Provider Name | Panagiotis Zenetos |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1548200967 PECOS PAC ID: 2567457856 Enrollment ID: I20040416000573 |
| Provider Name | Mark Harooni |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013014406 PECOS PAC ID: 9931012176 Enrollment ID: I20040622000503 |
| Provider Name | Ayaz Rasool |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467561043 PECOS PAC ID: 6406834738 Enrollment ID: I20040713000298 |
| Provider Name | Ignatius D Roger |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1699832667 PECOS PAC ID: 0941276851 Enrollment ID: I20040902000495 |
| Provider Name | Omid Hakimian |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164418166 PECOS PAC ID: 6507821618 Enrollment ID: I20041130000624 |
| Provider Name | Jeffrey R Rosenblatt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437238011 PECOS PAC ID: 9234187949 Enrollment ID: I20050110000700 |
| Provider Name | Nawaiz Ahmad |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1679680268 PECOS PAC ID: 8820039621 Enrollment ID: I20050520000854 |
| Provider Name | Ramon Benedicto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568459402 PECOS PAC ID: 1658305834 Enrollment ID: I20050927000431 |
| Provider Name | Sharon L Koehler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437185428 PECOS PAC ID: 4385664721 Enrollment ID: I20051130000903 |
| Provider Name | Thomas G Larkin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487670436 PECOS PAC ID: 6204856396 Enrollment ID: I20051205000383 |
| Provider Name | Clara M Rivera |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205815339 PECOS PAC ID: 2961419742 Enrollment ID: I20060320000565 |
| Provider Name | Gavriil Khaimov |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669483426 PECOS PAC ID: 9638179344 Enrollment ID: I20070103000201 |
| Provider Name | Roger Antoine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902827413 PECOS PAC ID: 2567562242 Enrollment ID: I20070710000826 |
| Provider Name | Jessica W Lim |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114902723 PECOS PAC ID: 7315023728 Enrollment ID: I20080326000315 |
| Provider Name | Sally Chetrit |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477704872 PECOS PAC ID: 3173689965 Enrollment ID: I20090303000324 |
| Provider Name | Aleksandr I Khaimov |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134323132 PECOS PAC ID: 7416093786 Enrollment ID: I20090930000526 |
| Provider Name | Michael R Hutzel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457347361 PECOS PAC ID: 8123152238 Enrollment ID: I20100811000598 |
| Provider Name | Ronald Guberman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689757072 PECOS PAC ID: 7911021928 Enrollment ID: I20100827000413 |
| Provider Name | Irida Llambiri Evans |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003049040 PECOS PAC ID: 3779765979 Enrollment ID: I20110406000079 |
| Provider Name | Lady Paula Dejesus |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558643221 PECOS PAC ID: 5193990521 Enrollment ID: I20111213000379 |
| Provider Name | Paul Y Kim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831477280 PECOS PAC ID: 9537329511 Enrollment ID: I20120328000998 |
| Provider Name | Jason Charles Snyder |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003106444 PECOS PAC ID: 4385890144 Enrollment ID: I20120809000682 |
| Provider Name | Shelly A Uter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801008040 PECOS PAC ID: 4981837978 Enrollment ID: I20140428001012 |
| Provider Name | Ali M Freese |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316354913 PECOS PAC ID: 4880815240 Enrollment ID: I20141028001966 |
| Provider Name | Waldemar Majdanski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629357561 PECOS PAC ID: 6901128370 Enrollment ID: I20141215001207 |
| Provider Name | Leon Stepensky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528042413 PECOS PAC ID: 6709879992 Enrollment ID: I20150112000244 |
| Provider Name | Aron Z Pollack |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295052595 PECOS PAC ID: 7416268073 Enrollment ID: I20161121000979 |
| Provider Name | Seth E Kaplan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477787687 PECOS PAC ID: 1355567017 Enrollment ID: I20161213000480 |
| Provider Name | Jason A Ellis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629244884 PECOS PAC ID: 4880984434 Enrollment ID: I20170516002543 |
| Provider Name | Innjea S Park |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174907992 PECOS PAC ID: 2860742020 Enrollment ID: I20180910000684 |
| Mailing Address | Practice Location Address |
|---|---|
| Wyckoff Heights Medical Services Pc 374 Stockholm St, Brooklyn, NY 11237-4006 Ph: (718) 963-6485 | Wyckoff Heights Medical Services Pc 374 Stockholm St, Brooklyn, NY 11237 Ph: (718) 963-6485 |