| Crown Medical Pc | |
|
358 Kingston Ave Brooklyn NY 11213-4332 | |
| (718) 778-7272 | |
| (718) 773-4583 |
| Full Name | Crown Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 358 Kingston Ave, Brooklyn, New York |
| Authorized Official Name and Position | Hillel Isseroff (PRESIDENT) |
| Authorized Official Contact | 7187787272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crown Medical Pc 358 Kingston Ave Brooklyn NY 11213-4332 Ph: (718) 778-7272 | Crown Medical Pc 358 Kingston Ave Brooklyn NY 11213-4332 Ph: (718) 778-7272 |
| NPI Number | 1003978230 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 11/20/2014 |
| Medicare PECOS PAC ID | 5698835122 |
|---|---|
| Medicare Enrollment ID | O20081113000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003978230 | NPI | - | NPPES |
| 01859021 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 246144 (New York) | Primary |
| Provider Name | Eli N Rosen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992786552 PECOS PAC ID: 7315954583 Enrollment ID: I20081113000553 |
| Provider Name | Hillel N Isseroff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629287990 PECOS PAC ID: 8527128065 Enrollment ID: I20081113000683 |
| Provider Name | Faraj Samra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346403839 PECOS PAC ID: 5799921573 Enrollment ID: I20130424000215 |
| Provider Name | Erica Mittelman-szanzer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124428495 PECOS PAC ID: 0446572176 Enrollment ID: I20141208000094 |
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