| Dr Dmitriy Khazron, DO | |
|
475 Seaview Ave, Staten Island, NY 10305-3436 | |
| (718) 226-1008 | |
| Not Available |
| Full Name | Dr Dmitriy Khazron |
|---|---|
| Gender | Male |
| Speciality | Endocrinology |
| Experience | 14 Years |
| Location | 475 Seaview 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 |
|---|---|---|---|
| 1851575724 | NPI | - | NPPES |
| 01580634 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 051901 (New York) | Secondary |
| 207R00000X | Internal Medicine | 279834 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Girling Health Care Of New York | Brooklyn, NY | Home health agency |
| South Brooklyn Health | Brooklyn, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Affiliate Group Of New York Pc | 4688098833 | 1222 |
| Entity Name | Physicians of University Hospital PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417901323 PECOS PAC ID: 5890877542 Enrollment ID: O20080204000002 |
| Entity Name | Coney Island Medical Practice Plan, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386951762 PECOS PAC ID: 5496944803 Enrollment ID: O20110114000660 |
| Entity Name | Physician Affiliate Group of New York PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013375526 PECOS PAC ID: 4688098833 Enrollment ID: O20200721001270 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dmitriy Khazron, DO 915 East 7 Street, Apt. 5g, Brooklyn, NY 11230 Ph: (718) 338-3247 | Dr Dmitriy Khazron, DO 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: (718) 226-1008 |