| Inna Petrosova Medical Pc | |
|
2233 Nostrand Ave Brooklyn NY 11210-3029 | |
| (718) 258-3777 | |
| (718) 258-6284 |
| Full Name | Inna Petrosova Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2233 Nostrand Ave, Brooklyn, New York |
| Authorized Official Name and Position | Inna Petrosova (OWNER) |
| Authorized Official Contact | 7182583777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inna Petrosova Medical Pc 2233 Nostrand Ave Brooklyn NY 11210-3029 Ph: (718) 258-3777 | Inna Petrosova Medical Pc 2233 Nostrand Ave Brooklyn NY 11210-3029 Ph: (718) 258-3777 |
| NPI Number | 1063629525 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6103849898 |
|---|---|
| Medicare Enrollment ID | O20060109000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063629525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Inna Petrosova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609861004 PECOS PAC ID: 8820011513 Enrollment ID: I20060117000108 |
| Provider Name | Ernest Tsilov |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1821304080 PECOS PAC ID: 8820284995 Enrollment ID: I20101201000685 |
| Provider Name | Cristina A Mitre |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457513665 PECOS PAC ID: 1355505165 Enrollment ID: I20120607000112 |
| Provider Name | Liliya Gumenik |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457647661 PECOS PAC ID: 0840429098 Enrollment ID: I20140210001271 |
| Provider Name | Lina Katsman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760741771 PECOS PAC ID: 5496043838 Enrollment ID: I20161018000883 |
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