| Beacon Health Medical Pc | |
|
17 W 9th St Brooklyn NY 11231-2501 | |
| (718) 599-9090 | |
| (347) 618-5973 |
| Full Name | Beacon Health Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 17 W 9th St, Brooklyn, New York |
| Authorized Official Name and Position | Mark Ilyagu (OWNER) |
| Authorized Official Contact | 7177167107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Health Medical Pc 17 W 9th St Brooklyn NY 11231-2501 Ph: (718) 599-9090 | Beacon Health Medical Pc 17 W 9th St Brooklyn NY 11231-2501 Ph: (718) 599-9090 |
| NPI Number | 1679393052 |
|---|---|
| Provider Enumeration Date | 10/11/2024 |
| Last Update Date | 10/25/2024 |
| Medicare PECOS PAC ID | 1658804760 |
|---|---|
| Medicare Enrollment ID | O20241029000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679393052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Keran S Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407917289 PECOS PAC ID: 8325103419 Enrollment ID: I20090410000000 |
| Provider Name | Sherine A Browne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376887950 PECOS PAC ID: 6305086547 Enrollment ID: I20130711000067 |
| Provider Name | Oksook Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134467954 PECOS PAC ID: 8123253408 Enrollment ID: I20131022000584 |
| Provider Name | Nisha Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538547351 PECOS PAC ID: 5597077297 Enrollment ID: I20150805006988 |
| Provider Name | Akisha R Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861860611 PECOS PAC ID: 3870802036 Enrollment ID: I20151029000924 |
| Provider Name | Joanne Deguia-rayos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659764553 PECOS PAC ID: 5092014407 Enrollment ID: I20160505001293 |
| Provider Name | Kil Hyon Hwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568705382 PECOS PAC ID: 3577844414 Enrollment ID: I20170109000017 |
| Provider Name | Gaye Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699098731 PECOS PAC ID: 2466736889 Enrollment ID: I20170303000659 |
| Provider Name | David Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962829531 PECOS PAC ID: 8527327584 Enrollment ID: I20180119000801 |
| Provider Name | Priscilla Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184792152 PECOS PAC ID: 2668733262 Enrollment ID: I20180222001192 |
| Provider Name | Tinashe A Mudiwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740632876 PECOS PAC ID: 7911269386 Enrollment ID: I20180322002040 |
| Provider Name | Watson R Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487913737 PECOS PAC ID: 4183985146 Enrollment ID: I20180709000966 |
| Provider Name | Mark Ilyagu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073994711 PECOS PAC ID: 8820340151 Enrollment ID: I20181015000980 |
| Provider Name | Tatyana N. Zaytseva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790813624 PECOS PAC ID: 4789923160 Enrollment ID: I20190301000396 |
| Provider Name | Ella Miyerov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548715733 PECOS PAC ID: 7911237300 Enrollment ID: I20190927001222 |
| Provider Name | Nicole Dionne Mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487206181 PECOS PAC ID: 1052643038 Enrollment ID: I20191023003227 |
| Provider Name | Ashley Seo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093176810 PECOS PAC ID: 2668761214 Enrollment ID: I20200401002120 |
| Provider Name | Terri Ann Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699046243 PECOS PAC ID: 3870922362 Enrollment ID: I20200403003004 |
| Provider Name | Tinea White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992323422 PECOS PAC ID: 9133531338 Enrollment ID: I20201211001918 |
| Provider Name | Darya Gorinshteyn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174732390 PECOS PAC ID: 1456765536 Enrollment ID: I20210201002240 |
| Provider Name | Kesha Pantry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386225001 PECOS PAC ID: 9931508975 Enrollment ID: I20210525001919 |
| Provider Name | Yelena Shats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952826497 PECOS PAC ID: 2062804032 Enrollment ID: I20220125001487 |
| Provider Name | Jiyoun Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003347253 PECOS PAC ID: 6204214802 Enrollment ID: I20220610001304 |
| Provider Name | Kimberly Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013235399 PECOS PAC ID: 7416146667 Enrollment ID: I20220915003791 |
| Provider Name | Darina Abayeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811635261 PECOS PAC ID: 8527443829 Enrollment ID: I20220922003433 |
| Provider Name | Fariahh Fazil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053954503 PECOS PAC ID: 8527490598 Enrollment ID: I20230125003297 |
| Provider Name | Cristina Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790482800 PECOS PAC ID: 8123492972 Enrollment ID: I20230320000471 |
| Provider Name | Ali H Sadek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750927240 PECOS PAC ID: 1355705054 Enrollment ID: I20230914000103 |
| Provider Name | Sandra M Guiteau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154044006 PECOS PAC ID: 6901261593 Enrollment ID: I20240227003758 |
| Provider Name | Brucha Wanounou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962230607 PECOS PAC ID: 8426596024 Enrollment ID: I20240814001733 |
| Provider Name | Coriena Lisa Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730488958 PECOS PAC ID: 6305377730 Enrollment ID: I20241009001350 |
| Provider Name | Steven Ovadia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659818300 PECOS PAC ID: 1951643394 Enrollment ID: I20250108001486 |
| Provider Name | Doris Obando-larguet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952650848 PECOS PAC ID: 4385899442 Enrollment ID: I20250217002102 |
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