| Compassionate Community Physicians PC | |
|
6861 Yellowstone Blvd Apt 116 Forest Hills NY 11375-3371 | |
| (347) 689-8880 | |
| Not Available |
| Full Name | Compassionate Community Physicians PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 6861 Yellowstone Blvd Apt 116, Forest Hills, New York |
| Authorized Official Name and Position | Ilya Kleyn (MD) |
| Authorized Official Contact | 3476898880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Community Physicians PC 6861 Yellowstone Blvd Apt 116 Forest Hills NY 11375-3371 | Compassionate Community Physicians PC 6861 Yellowstone Blvd Apt 116 Forest Hills NY 11375-3371 Ph: (347) 689-8880 |
| NPI Number | 1003441429 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 03/05/2020 |
| Certification Date | 03/05/2020 |
| Medicare PECOS PAC ID | 4183055882 |
|---|---|
| Medicare Enrollment ID | O20200513001881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003441429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Ilya Kleyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851327092 PECOS PAC ID: 5890777304 Enrollment ID: I20040607000834 |
| Provider Name | Farzin Sehati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477636389 PECOS PAC ID: 3870543085 Enrollment ID: I20050210000776 |
| Provider Name | Albert Mushiyev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770435265 PECOS PAC ID: 9335320969 Enrollment ID: I20260609002215 |
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