| 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 Ph: () - | 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 |
| Medicare PECOS PAC ID | 4183055882 |
|---|---|
| Medicare Enrollment ID | O20200513001881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003441429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | 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 | Grace Nicot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871798926 PECOS PAC ID: 0345377933 Enrollment ID: I20100430000351 |
| Provider Name | Rafael Yaakobov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689115065 PECOS PAC ID: 7911236096 Enrollment ID: I20190916001629 |
| Provider Name | Jenniferta Arroyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093398836 PECOS PAC ID: 8527465145 Enrollment ID: I20210924001522 |
| Provider Name | Aasma Hafeez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497980866 PECOS PAC ID: 8628436755 Enrollment ID: I20230622002014 |
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