| Jane Vlodov-levitt Mdpc | |
|
2202 65th St 2nd Floor Brooklyn NY 11204-4035 | |
| (718) 331-7900 | |
| (718) 331-3666 |
| Full Name | Jane Vlodov-levitt Mdpc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2202 65th St, Brooklyn, New York |
| Authorized Official Name and Position | Jane Vlodov (CEO/PRESIDENT) |
| Authorized Official Contact | 7183317900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jane Vlodov-levitt Mdpc 2202 65th St 2nd Floor Brooklyn NY 11204-4035 Ph: (718) 331-7900 | Jane Vlodov-levitt Mdpc 2202 65th St 2nd Floor Brooklyn NY 11204-4035 Ph: (718) 331-7900 |
| NPI Number | 1396912812 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 01/19/2022 |
| Certification Date | 01/19/2022 |
| Medicare PECOS PAC ID | 1658358379 |
|---|---|
| Medicare Enrollment ID | O20081223000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396912812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 204618 (New York) | Primary |
| Provider Name | Jane Vlodov-levitt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518965250 PECOS PAC ID: 3577543347 Enrollment ID: I20040722000463 |
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