| Advanta Medical P.C. | |
|
2818 Ocean Ave Suite 1 Brooklyn NY 11235-3170 | |
| (718) 934-8484 | |
| (718) 934-4267 |
| Full Name | Advanta Medical P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 2818 Ocean Ave, Brooklyn, New York |
| Authorized Official Name and Position | Michael Riskevich (DOCTOR) |
| Authorized Official Contact | 7189348484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanta Medical P.C. 2818 Ocean Ave Suite 1 Brooklyn NY 11235-3170 Ph: (718) 934-8484 | Advanta Medical P.C. 2818 Ocean Ave Suite 1 Brooklyn NY 11235-3170 Ph: (718) 934-8484 |
| NPI Number | 1922246008 |
|---|---|
| Provider Enumeration Date | 01/28/2009 |
| Last Update Date | 03/06/2015 |
| Medicare PECOS PAC ID | 9335295401 |
|---|---|
| Medicare Enrollment ID | O20090915000775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922246008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 208815 (New York) | Primary |
| Provider Name | Michael Riskevich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295897155 PECOS PAC ID: 8426945510 Enrollment ID: I20040303000404 |
| Provider Name | Anna Kuznetsova |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124332614 PECOS PAC ID: 9638293160 Enrollment ID: I20100903000723 |
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