| Intermed Medical Ny PC | |
|
2329 Nostrand Ave Ste 600 Brooklyn NY 11210-3948 | |
| (718) 633-2455 | |
| Not Available |
| Full Name | Intermed Medical Ny PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2329 Nostrand Ave Ste 600, Brooklyn, New York |
| Authorized Official Name and Position | Farzad Haghighi (MD) |
| Authorized Official Contact | 9292890597 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermed Medical Ny PC 236 Broadway Suite 211 Brooklyn NY 11211-8414 Ph: (718) 633-2455 | Intermed Medical Ny PC 2329 Nostrand Ave Ste 600 Brooklyn NY 11210-3948 Ph: (718) 633-2455 |
| NPI Number | 1316308406 |
|---|---|
| Provider Enumeration Date | 03/16/2016 |
| Last Update Date | 11/12/2024 |
| Certification Date | 11/12/2024 |
| Medicare PECOS PAC ID | 6204135569 |
|---|---|
| Medicare Enrollment ID | O20160509001261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316308406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 251936 (New York) | Primary |
| 207UN0901X | Nuclear Medicine - Nuclear Cardiology | () | Secondary |
| Provider Name | Farzad Haghighi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518106764 PECOS PAC ID: 3577610070 Enrollment ID: I20090428000216 |
| Provider Name | Olga a Burzyantseva |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104072586 PECOS PAC ID: 7719118322 Enrollment ID: I20140325000862 |
| Provider Name | Amalya Isakova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467999409 PECOS PAC ID: 4789950841 Enrollment ID: I20171018000974 |
| Provider Name | Aji PA Kurian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194713610 PECOS PAC ID: 7012987548 Enrollment ID: I20181211003252 |
| Provider Name | Dawn Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417504721 PECOS PAC ID: 3577990555 Enrollment ID: I20200304001140 |
| Provider Name | Jessica Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821675158 PECOS PAC ID: 5395145593 Enrollment ID: I20240329002017 |
| Provider Name | Patrick Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316119969 PECOS PAC ID: 3971674821 Enrollment ID: I20241101000713 |
| Provider Name | Brandon Soule |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689962581 PECOS PAC ID: 3870765340 Enrollment ID: I20241119001005 |
| Provider Name | Chidi Obinani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891962106 PECOS PAC ID: 5294806816 Enrollment ID: I20241206002659 |
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