| Be Healthy Medical PC | |
|
1302 Kings Hwy 2nd Floor Brooklyn NY 11229-1960 | |
| (718) 645-2700 | |
| (718) 645-3188 |
| Full Name | Be Healthy Medical PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1302 Kings Hwy, Brooklyn, New York |
| Authorized Official Name and Position | Alexandra Etkin (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7186482122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Healthy Medical PC 1302 Kings Hwy 2nd Floor Brooklyn NY 11229-1960 Ph: (718) 645-2700 | Be Healthy Medical PC 1302 Kings Hwy 2nd Floor Brooklyn NY 11229-1960 Ph: (718) 645-2700 |
| NPI Number | 1235204447 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 12/11/2019 |
| Certification Date | 12/11/2019 |
| Medicare PECOS PAC ID | 9133150014 |
|---|---|
| Medicare Enrollment ID | O20050830001072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235204447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 211343 (New York) | Primary |
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | (NU) | Secondary |
| Provider Name | Alexandra Etkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932274156 PECOS PAC ID: 0345285508 Enrollment ID: I20050908000992 |
| Provider Name | Ilona Shtarkman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023354081 PECOS PAC ID: 5092026757 Enrollment ID: I20150622001635 |
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