| Brooklyn Infectious Disease Medicine Consultant Pc | |
|
312 Neptune Ave Brooklyn NY 11235-6994 | |
| (718) 934-7593 | |
| Not Available |
| Full Name | Brooklyn Infectious Disease Medicine Consultant Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 312 Neptune Ave, Brooklyn, New York |
| Authorized Official Name and Position | Kate Moon (ADMINISTRATOR) |
| Authorized Official Contact | 7182657088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn Infectious Disease Medicine Consultant Pc Po Box 350426 Brooklyn NY 11235-0426 Ph: () - | Brooklyn Infectious Disease Medicine Consultant Pc 312 Neptune Ave Brooklyn NY 11235-6994 Ph: (718) 934-7593 |
| NPI Number | 1427574623 |
|---|---|
| Provider Enumeration Date | 08/18/2017 |
| Last Update Date | 01/24/2018 |
| Medicare PECOS PAC ID | 3971866450 |
|---|---|
| Medicare Enrollment ID | O20180416000905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427574623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Iya Dubson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730327677 PECOS PAC ID: 1658418629 Enrollment ID: I20091023000161 |
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