| Ais Physician P.c | |
|
476 7th St Brooklyn NY 11215-6932 | |
| (718) 885-4727 | |
| Not Available |
| Full Name | Ais Physician P.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 476 7th St, Brooklyn, New York |
| Authorized Official Name and Position | Ijaz Ahmad (PRESIDENT) |
| Authorized Official Contact | 7187894333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ais Physician P.c 70 Old Westbury Rd Old Westbury NY 11568-1611 Ph: (718) 395-6444 | Ais Physician P.c 476 7th St Brooklyn NY 11215-6932 Ph: (718) 885-4727 |
| NPI Number | 1043640220 |
|---|---|
| Provider Enumeration Date | 11/25/2013 |
| Last Update Date | 09/04/2024 |
| Medicare PECOS PAC ID | 8729399605 |
|---|---|
| Medicare Enrollment ID | O20150618001486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043640220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Wesley R Tzall |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508853276 PECOS PAC ID: 4981508371 Enrollment ID: I20031126000613 |
| Provider Name | Ijaz Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902895238 PECOS PAC ID: 5698707982 Enrollment ID: I20050907001186 |
| Provider Name | Sarat Bhumi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861578924 PECOS PAC ID: 4385651561 Enrollment ID: I20060313000571 |
| Provider Name | Chitra Gopalaswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558437897 PECOS PAC ID: 3779771415 Enrollment ID: I20101222000807 |
| Provider Name | Anne Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205205374 PECOS PAC ID: 6608166780 Enrollment ID: I20160601002095 |
| Provider Name | Jamil Mohammad Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235535436 PECOS PAC ID: 1557620879 Enrollment ID: I20180112001306 |
| Provider Name | Chrystal D Browne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356102578 PECOS PAC ID: 9931546389 Enrollment ID: I20241108001085 |
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