| Kel Healthcare Medical Services Pc | |
|
1530 Bedford Ave Fl 3 Brooklyn NY 11216-4117 | |
| (631) 566-1967 | |
| Not Available |
| Full Name | Kel Healthcare Medical Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1530 Bedford Ave Fl 3, Brooklyn, New York |
| Authorized Official Name and Position | Karl E. Latortue (OWNER/PRESIDENT) |
| Authorized Official Contact | 6315661967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kel Healthcare Medical Services Pc 29 Yoakum Ave Farmingdale NY 11735-5056 Ph: (631) 566-1967 | Kel Healthcare Medical Services Pc 1530 Bedford Ave Fl 3 Brooklyn NY 11216-4117 Ph: (631) 566-1967 |
| NPI Number | 1629892476 |
|---|---|
| Provider Enumeration Date | 11/08/2024 |
| Last Update Date | 11/08/2024 |
| Medicare PECOS PAC ID | 3971031089 |
|---|---|
| Medicare Enrollment ID | O20250116001294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629892476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Karl E Latortue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104861558 PECOS PAC ID: 0345136644 Enrollment ID: I20040224000901 |
| Provider Name | William J Gibbs |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881660959 PECOS PAC ID: 9234027574 Enrollment ID: I20040308001151 |
| Provider Name | Richard Denise |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568495414 PECOS PAC ID: 9436119187 Enrollment ID: I20041016000071 |
| Provider Name | Mohammad H Zgheib |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245442490 PECOS PAC ID: 5193877066 Enrollment ID: I20110208000209 |
| Provider Name | Jason Finkelstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750355103 PECOS PAC ID: 0446207393 Enrollment ID: I20190301000147 |
| Provider Name | Carl Shenkman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083664874 PECOS PAC ID: 8325028749 Enrollment ID: I20250219000541 |
| Provider Name | Ricky P Lockett |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356410443 PECOS PAC ID: 8527230143 Enrollment ID: I20250313000263 |
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