| Kingsbrook Medical Associates, Pc | |
|
585 Schenectady Ave Brooklyn NY 11203-1851 | |
| (718) 604-5532 | |
| Not Available |
| Full Name | Kingsbrook Medical Associates, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 585 Schenectady Ave, Brooklyn, New York |
| Authorized Official Name and Position | John Schmitt (SVPF) |
| Authorized Official Contact | 7186045000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingsbrook Medical Associates, Pc 585 Schenectady Ave Brooklyn NY 11203-1851 Ph: (718) 604-5000 | Kingsbrook Medical Associates, Pc 585 Schenectady Ave Brooklyn NY 11203-1851 Ph: (718) 604-5532 |
| NPI Number | 1104112838 |
|---|---|
| Provider Enumeration Date | 06/21/2011 |
| Last Update Date | 01/23/2017 |
| Medicare PECOS PAC ID | 8729252028 |
|---|---|
| Medicare Enrollment ID | O20111123000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104112838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 7001033H (New York) | Primary |
| Provider Name | Philip Harris |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1518954262 PECOS PAC ID: 1456256205 Enrollment ID: I20031204000489 |
| Provider Name | Brian K Levy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912083148 PECOS PAC ID: 7214834746 Enrollment ID: I20031215000148 |
| Provider Name | Jean Daniel D Francois |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144209610 PECOS PAC ID: 0648167858 Enrollment ID: I20040302001219 |
| Provider Name | Peter W Mollica |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285683508 PECOS PAC ID: 0749170363 Enrollment ID: I20040317001346 |
| Provider Name | Nicholas J Gargiulo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1447332614 PECOS PAC ID: 7719877968 Enrollment ID: I20040319000395 |
| Provider Name | Jasodaben Mandalaywala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174574289 PECOS PAC ID: 3577455492 Enrollment ID: I20040326000093 |
| Provider Name | Rekha Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023035466 PECOS PAC ID: 6406748235 Enrollment ID: I20040326000836 |
| Provider Name | Khaing Moe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053388454 PECOS PAC ID: 4981596723 Enrollment ID: I20040326000891 |
| Provider Name | Samuel P Thampi |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1215932447 PECOS PAC ID: 1355233685 Enrollment ID: I20040329001849 |
| Provider Name | John Miller |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285788265 PECOS PAC ID: 6800889494 Enrollment ID: I20040407001638 |
| Provider Name | Jonathan H Sumner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427030097 PECOS PAC ID: 7416944418 Enrollment ID: I20040430000156 |
| Provider Name | Clover J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225041742 PECOS PAC ID: 6507854320 Enrollment ID: I20040503000191 |
| Provider Name | Pervez Akhter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952316606 PECOS PAC ID: 8820087596 Enrollment ID: I20040507001198 |
| Provider Name | Boris Avezbakiyev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396794921 PECOS PAC ID: 8224929849 Enrollment ID: I20040511001184 |
| Provider Name | Steven D Lowe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619051612 PECOS PAC ID: 6103808472 Enrollment ID: I20040602000548 |
| Provider Name | Zewge Shiferaw-deribe |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508846726 PECOS PAC ID: 4082696745 Enrollment ID: I20040605000020 |
| Provider Name | Jean G Lajeune |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053384081 PECOS PAC ID: 5193708972 Enrollment ID: I20040611000679 |
| Provider Name | Joseph Hubert Paul |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558387431 PECOS PAC ID: 4688651151 Enrollment ID: I20040701001481 |
| Provider Name | Raouf Hanna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235165200 PECOS PAC ID: 6002895646 Enrollment ID: I20040716000466 |
| Provider Name | Danilo A Enriquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619947066 PECOS PAC ID: 8022097658 Enrollment ID: I20040716001144 |
| Provider Name | Peter D Berg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780621730 PECOS PAC ID: 4082684410 Enrollment ID: I20040730001062 |
| Provider Name | Suzette Graham Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689641466 PECOS PAC ID: 0547238420 Enrollment ID: I20040918000163 |
| Provider Name | Orna Rauchwerger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083676258 PECOS PAC ID: 3779544879 Enrollment ID: I20041021001097 |
| Provider Name | Davinder K Chandhoke |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639290760 PECOS PAC ID: 4385606011 Enrollment ID: I20041103000987 |
| Provider Name | Natalia Elkin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306932991 PECOS PAC ID: 0042273583 Enrollment ID: I20041105000792 |
| Provider Name | Elliot I Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821025099 PECOS PAC ID: 4385607712 Enrollment ID: I20041108000264 |
| Provider Name | Philip E Mcpherson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336161132 PECOS PAC ID: 6800850694 Enrollment ID: I20041111000980 |
| Provider Name | Marthe Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821056201 PECOS PAC ID: 9032173083 Enrollment ID: I20041118000699 |
| Provider Name | Steven A Inker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992757231 PECOS PAC ID: 7618935578 Enrollment ID: I20041222000656 |
| Provider Name | Jason E Hershberger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598712283 PECOS PAC ID: 9335197953 Enrollment ID: I20050110000877 |
| Provider Name | Nina N. Sabghir |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740289172 PECOS PAC ID: 3779532080 Enrollment ID: I20050113000543 |
| Provider Name | Samuel A Uter |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699713792 PECOS PAC ID: 3870542988 Enrollment ID: I20050115000020 |
| Provider Name | Yuliya Feygis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871587089 PECOS PAC ID: 5294785044 Enrollment ID: I20050128000554 |
| Provider Name | Muhammad F Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134170640 PECOS PAC ID: 3274571567 Enrollment ID: I20050418001084 |
| Provider Name | Narendra A Kumthekar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598822116 PECOS PAC ID: 2466493499 Enrollment ID: I20050531000126 |
| Provider Name | Milroy Fleary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821055682 PECOS PAC ID: 4688610447 Enrollment ID: I20050701000073 |
| Provider Name | Saka Aramide Kazeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922057397 PECOS PAC ID: 6901842202 Enrollment ID: I20050707000830 |
| Provider Name | Katherine Alexandra Mortati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740257393 PECOS PAC ID: 9234167933 Enrollment ID: I20050803000435 |
| Provider Name | Firozali Panjvani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154353159 PECOS PAC ID: 7315977451 Enrollment ID: I20050817001070 |
| Provider Name | Marie J Schmidt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861584203 PECOS PAC ID: 6507896040 Enrollment ID: I20050820000036 |
| Provider Name | Vijay G Akkapeddi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982657706 PECOS PAC ID: 3577596014 Enrollment ID: I20050914001226 |
| Provider Name | Edward F Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609813468 PECOS PAC ID: 8426082231 Enrollment ID: I20050921000758 |
| Provider Name | Nicholas A Schwartz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962419440 PECOS PAC ID: 9830123587 Enrollment ID: I20050921001110 |
| Provider Name | Maria Khusid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699814780 PECOS PAC ID: 0840216792 Enrollment ID: I20051019001106 |
| Provider Name | Jai P Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609890771 PECOS PAC ID: 1850313826 Enrollment ID: I20051220000074 |
| Provider Name | Wilfrid Herard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518924489 PECOS PAC ID: 5799707691 Enrollment ID: I20051220000428 |
| Provider Name | Kurt S Kodroff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417976408 PECOS PAC ID: 2567484900 Enrollment ID: I20051228000520 |
| Provider Name | Eric L Jerome |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841216330 PECOS PAC ID: 9335131689 Enrollment ID: I20060106000231 |
| Provider Name | Adanela A Matos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891728184 PECOS PAC ID: 8820011752 Enrollment ID: I20060106000239 |
| Provider Name | Hitendra M Rambhia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629061155 PECOS PAC ID: 8022031962 Enrollment ID: I20060106000293 |
| Provider Name | Thomas R Mayer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326086687 PECOS PAC ID: 8022032440 Enrollment ID: I20060124000594 |
| Provider Name | Alexander Aizman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659328011 PECOS PAC ID: 0749257822 Enrollment ID: I20060228000098 |
| Provider Name | Marc Kennedy Ross |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750485991 PECOS PAC ID: 7416965678 Enrollment ID: I20060329000522 |
| Provider Name | Elisabeth M Lescouflair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043222060 PECOS PAC ID: 8022026178 Enrollment ID: I20060330000599 |
| Provider Name | Anjan Rau |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477504363 PECOS PAC ID: 7416968946 Enrollment ID: I20060518000096 |
| Provider Name | Harish J Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396784534 PECOS PAC ID: 6800808437 Enrollment ID: I20060630000251 |
| Provider Name | Berhane Wubshet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013963297 PECOS PAC ID: 1850304643 Enrollment ID: I20060721000048 |
| Provider Name | Miroslaw J Wojciula-tomaszewski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346325313 PECOS PAC ID: 6406858570 Enrollment ID: I20070202000487 |
| Provider Name | Vadim Y Korol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417033812 PECOS PAC ID: 8022114230 Enrollment ID: I20070504000318 |
| Provider Name | Revanord Pierre-louis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053482612 PECOS PAC ID: 2264539360 Enrollment ID: I20070524000619 |
| Provider Name | Mohan Preet |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134243595 PECOS PAC ID: 2769580158 Enrollment ID: I20070608000075 |
| Provider Name | Madhumati R Kalavar |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1215991070 PECOS PAC ID: 3678673126 Enrollment ID: I20070712000431 |
| Provider Name | Mohan Padmanabha Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194769653 PECOS PAC ID: 9739191479 Enrollment ID: I20070720000589 |
| Provider Name | Todd R Lefkowitz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1518086883 PECOS PAC ID: 3274634860 Enrollment ID: I20070726000493 |
| Provider Name | Cherif M El Younis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417941618 PECOS PAC ID: 2567555089 Enrollment ID: I20070829000530 |
| Provider Name | Rebecca Bigio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962584276 PECOS PAC ID: 6507959707 Enrollment ID: I20070904000629 |
| Provider Name | Steven Allen Sparr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023193349 PECOS PAC ID: 5294821062 Enrollment ID: I20071010000397 |
| Provider Name | Audrey Dupree Sealey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669494464 PECOS PAC ID: 1355439464 Enrollment ID: I20071126000419 |
| Provider Name | Nicholas H Post |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467670992 PECOS PAC ID: 1759470248 Enrollment ID: I20071207000108 |
| Provider Name | Amjad Hindi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487854964 PECOS PAC ID: 0143302158 Enrollment ID: I20080130000243 |
| Provider Name | Emmanuel Brunot |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295896223 PECOS PAC ID: 4981789005 Enrollment ID: I20080312000632 |
| Provider Name | Moiz A Hamdani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205048725 PECOS PAC ID: 3577640242 Enrollment ID: I20080404000363 |
| Provider Name | Susan G Schneidermesser |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548330764 PECOS PAC ID: 0648340802 Enrollment ID: I20080530000786 |
| Provider Name | Olusegun M Adeonigbagbe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073570081 PECOS PAC ID: 3577638782 Enrollment ID: I20080822000641 |
| Provider Name | Sarita Patel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1033319314 PECOS PAC ID: 7517025679 Enrollment ID: I20081020000145 |
| Provider Name | Neil A Pasco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871762211 PECOS PAC ID: 1153482260 Enrollment ID: I20081208000730 |
| Provider Name | Pierre Francois |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184666109 PECOS PAC ID: 9830253426 Enrollment ID: I20090126000747 |
| Provider Name | Leila C Thanasoulis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740425537 PECOS PAC ID: 0143384289 Enrollment ID: I20090204000218 |
| Provider Name | Ketan H Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386722825 PECOS PAC ID: 2466559893 Enrollment ID: I20090219000030 |
| Provider Name | Majid Samad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720040280 PECOS PAC ID: 1759446958 Enrollment ID: I20090224000062 |
| Provider Name | Richard Hess |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841384716 PECOS PAC ID: 2365509320 Enrollment ID: I20090319000344 |
| Provider Name | Brent Gottesman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710198023 PECOS PAC ID: 6709960347 Enrollment ID: I20090709000083 |
| Provider Name | Alex Tarnarider |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598760241 PECOS PAC ID: 6901830744 Enrollment ID: I20090715000008 |
| Provider Name | Ahmed R Rashed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770751703 PECOS PAC ID: 3072665355 Enrollment ID: I20090717000027 |
| Provider Name | Carl Pierre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538226998 PECOS PAC ID: 4385797356 Enrollment ID: I20090810000112 |
| Provider Name | Vonetta Drakes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134351414 PECOS PAC ID: 4789720806 Enrollment ID: I20091003000026 |
| Provider Name | Veena P Wadhwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952473886 PECOS PAC ID: 9436296506 Enrollment ID: I20091021000666 |
| Provider Name | Bruce A Dorman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457353856 PECOS PAC ID: 8628118015 Enrollment ID: I20091215000674 |
| Provider Name | Omar D Gutierrez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396998977 PECOS PAC ID: 0547305500 Enrollment ID: I20100303000096 |
| Provider Name | Sameh Hassan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912945254 PECOS PAC ID: 5496884140 Enrollment ID: I20100519000099 |
| Provider Name | Manjusha Rentala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629089719 PECOS PAC ID: 4385625516 Enrollment ID: I20100605000100 |
| Provider Name | Jordana M Cotton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285833277 PECOS PAC ID: 6204928567 Enrollment ID: I20100708000358 |
| Provider Name | Jitendra Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669410775 PECOS PAC ID: 1456484104 Enrollment ID: I20100802000146 |
| Provider Name | Alexander Kazos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801957063 PECOS PAC ID: 3274667159 Enrollment ID: I20100813000480 |
| Provider Name | Thulasiram Janardhanan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104871680 PECOS PAC ID: 8820281181 Enrollment ID: I20101019000642 |
| Provider Name | Nikolaos Ih Papamitsakis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467452797 PECOS PAC ID: 1658396387 Enrollment ID: I20101207000960 |
| Provider Name | Mary S Tawfik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255357034 PECOS PAC ID: 8426140252 Enrollment ID: I20110119000147 |
| Provider Name | Rajat Mukherji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649229188 PECOS PAC ID: 7214116961 Enrollment ID: I20110126001009 |
| Provider Name | Stanley A Newfield |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912946229 PECOS PAC ID: 8820277338 Enrollment ID: I20110128000630 |
| Provider Name | Lucio Flores |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043253792 PECOS PAC ID: 6901089473 Enrollment ID: I20110321000680 |
| Provider Name | Raymond J Mollica |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942252903 PECOS PAC ID: 5799966024 Enrollment ID: I20110323000677 |
| Provider Name | Zan Mra |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710050497 PECOS PAC ID: 0840475976 Enrollment ID: I20110504000642 |
| Provider Name | Oleg Karpenko |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770883415 PECOS PAC ID: 8628254463 Enrollment ID: I20110512000488 |
| Provider Name | Sree P Panda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477842235 PECOS PAC ID: 8729264023 Enrollment ID: I20110523000377 |
| Provider Name | Alix Dufresne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700819950 PECOS PAC ID: 0840477949 Enrollment ID: I20110526000761 |
| Provider Name | Sherman Chan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811184047 PECOS PAC ID: 9436337029 Enrollment ID: I20110630000257 |
| Provider Name | Edward C Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841345469 PECOS PAC ID: 9931377702 Enrollment ID: I20110721000533 |
| Provider Name | Matthew Chang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023279163 PECOS PAC ID: 3072781707 Enrollment ID: I20110722000303 |
| Provider Name | Brad A Rahaman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043473424 PECOS PAC ID: 0244400745 Enrollment ID: I20110818000641 |
| Provider Name | Guny Gabriel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700907292 PECOS PAC ID: 1658546429 Enrollment ID: I20111206000208 |
| Provider Name | Olalekan Adekunle Badiru |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114172467 PECOS PAC ID: 0648450494 Enrollment ID: I20111212000047 |
| Provider Name | Barry T Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225284599 PECOS PAC ID: 4688841091 Enrollment ID: I20120125000226 |
| Provider Name | Jean L Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811162480 PECOS PAC ID: 7719146521 Enrollment ID: I20120315000026 |
| Provider Name | Ellen B Tabor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285619379 PECOS PAC ID: 2264688753 Enrollment ID: I20120816000544 |
| Provider Name | Sergei A Aksenov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598881963 PECOS PAC ID: 7618041435 Enrollment ID: I20121024000036 |
| Provider Name | Gulmira Sardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104120690 PECOS PAC ID: 2163672940 Enrollment ID: I20121102000064 |
| Provider Name | Pavel Fadeev |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598998411 PECOS PAC ID: 7719124569 Enrollment ID: I20130515000027 |
| Provider Name | Nicole T Kennedy-pauls |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366763732 PECOS PAC ID: 0749423382 Enrollment ID: I20130829000063 |
| Provider Name | Jacob Eisdorfer |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1487706255 PECOS PAC ID: 4789827197 Enrollment ID: I20130904000883 |
| Provider Name | Nadja Louis Jacques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982852497 PECOS PAC ID: 1254587223 Enrollment ID: I20131017000546 |
| Provider Name | Inci Irak Dersu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477643963 PECOS PAC ID: 9436196193 Enrollment ID: I20131028001329 |
| Provider Name | Puneet Bedi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881838324 PECOS PAC ID: 5597880237 Enrollment ID: I20140123000404 |
| Provider Name | Qi Feng |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659519650 PECOS PAC ID: 2961631684 Enrollment ID: I20140129000912 |
| Provider Name | David B Edgcomb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609025733 PECOS PAC ID: 1153552302 Enrollment ID: I20140401001209 |
| Provider Name | Kay Odashima |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801185657 PECOS PAC ID: 5092931857 Enrollment ID: I20140731000502 |
| Provider Name | Brian A Yokers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457667537 PECOS PAC ID: 5991923427 Enrollment ID: I20140826000762 |
| Provider Name | David Barney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801188081 PECOS PAC ID: 0648499426 Enrollment ID: I20140909001693 |
| Provider Name | Joseph Nale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598064032 PECOS PAC ID: 2365661980 Enrollment ID: I20140915000510 |
| Provider Name | David Q Chen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700184934 PECOS PAC ID: 5597905752 Enrollment ID: I20140915001609 |
| Provider Name | Immaculada S Espiritu |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1992046577 PECOS PAC ID: 5597986489 Enrollment ID: I20141017000753 |
| Provider Name | Jennelyn Fraser-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760535355 PECOS PAC ID: 3870714215 Enrollment ID: I20141028001077 |
| Provider Name | Henry Fishman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184707101 PECOS PAC ID: 1557583127 Enrollment ID: I20141114001268 |
| Provider Name | Seyun Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508197591 PECOS PAC ID: 0547484099 Enrollment ID: I20141217000471 |
| Provider Name | Laurentiu Iulius Dinescu |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1316384985 PECOS PAC ID: 6204159866 Enrollment ID: I20150106002503 |
| Provider Name | Paul B Haser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164487724 PECOS PAC ID: 5597700633 Enrollment ID: I20150624001461 |
| Provider Name | Derrick Cheung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124274451 PECOS PAC ID: 2466765920 Enrollment ID: I20150714000211 |
| Provider Name | Michael Reinhardt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457587594 PECOS PAC ID: 2062726342 Enrollment ID: I20150730012073 |
| Provider Name | Jay Bhe B Bagain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730478959 PECOS PAC ID: 2163736950 Enrollment ID: I20150807013548 |
| Provider Name | Sabrina Sokolovsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245596105 PECOS PAC ID: 8426359530 Enrollment ID: I20151215001144 |
| Provider Name | Tyler J Miranda |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760894125 PECOS PAC ID: 5597068916 Enrollment ID: I20160119002130 |
| Provider Name | Iruani Salas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982747721 PECOS PAC ID: 0446434500 Enrollment ID: I20160217000272 |
| Provider Name | Juan C Zequeira Diaz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154686236 PECOS PAC ID: 4486959194 Enrollment ID: I20160217002261 |
| Provider Name | Kalpana Panda Panigrahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770994733 PECOS PAC ID: 0547566424 Enrollment ID: I20160303001182 |
| Provider Name | Ayodele O Atolagbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255686085 PECOS PAC ID: 7315240298 Enrollment ID: I20160311001227 |
| Provider Name | Yuna Rapoport |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144516121 PECOS PAC ID: 0547577389 Enrollment ID: I20160811000335 |
| Provider Name | Aditya Ancha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912258070 PECOS PAC ID: 1850689845 Enrollment ID: I20161006001143 |
| Provider Name | Chin Hyong Park |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063828028 PECOS PAC ID: 2668751058 Enrollment ID: I20161107001781 |
| Provider Name | Marufa Khatun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962812248 PECOS PAC ID: 9436433653 Enrollment ID: I20170306002759 |
| Provider Name | Matthew Scro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700296415 PECOS PAC ID: 0749557155 Enrollment ID: I20170606000783 |
| Provider Name | Mohammad Aalai |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568719888 PECOS PAC ID: 2961770094 Enrollment ID: I20170614001392 |
| Provider Name | Ann-marie Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396297354 PECOS PAC ID: 0042589624 Enrollment ID: I20170713001803 |
| Provider Name | Ayman Abadeer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619268869 PECOS PAC ID: 1153683792 Enrollment ID: I20180320001709 |
| Provider Name | Anita Lui |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306232186 PECOS PAC ID: 8820353931 Enrollment ID: I20180521000025 |
| Provider Name | Eric S Levy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508267774 PECOS PAC ID: 6507121936 Enrollment ID: I20180605002555 |
| Provider Name | Carl T Mickman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124445242 PECOS PAC ID: 8729333133 Enrollment ID: I20180626000293 |
| Provider Name | Avinash Viswanath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942697990 PECOS PAC ID: 1850648247 Enrollment ID: I20180717000353 |
| Provider Name | Spencer Langevin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467859314 PECOS PAC ID: 1759639412 Enrollment ID: I20180813001633 |
| Provider Name | Andrena Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972893261 PECOS PAC ID: 8527318435 Enrollment ID: I20180913001108 |
| Provider Name | Neil K Dasgupta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215296207 PECOS PAC ID: 6901110766 Enrollment ID: I20180917001141 |
| Provider Name | Omar Wain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548548225 PECOS PAC ID: 4880945682 Enrollment ID: I20180918001541 |
| Provider Name | Andleeb Sherazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356724165 PECOS PAC ID: 6103177795 Enrollment ID: I20180920001447 |
| Provider Name | Lee Grodin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659711992 PECOS PAC ID: 0840541850 Enrollment ID: I20181001001461 |
| Provider Name | Ashley Mathai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306330295 PECOS PAC ID: 9638422256 Enrollment ID: I20181030000530 |
| Provider Name | Roshelle Rozenblum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336678085 PECOS PAC ID: 7719231174 Enrollment ID: I20181121001656 |
| Provider Name | Ilya Leskov |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982959029 PECOS PAC ID: 3971747437 Enrollment ID: I20181212003370 |
| Provider Name | Bernadette Udeozor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760973127 PECOS PAC ID: 6800135815 Enrollment ID: I20190307003095 |
| Provider Name | Taiye A. Ogundipe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801052386 PECOS PAC ID: 0143464560 Enrollment ID: I20190424002276 |
| Provider Name | Samantha Chin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588027569 PECOS PAC ID: 4981996170 Enrollment ID: I20190701001216 |
| Provider Name | Elie Harmouche |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700204229 PECOS PAC ID: 1850643008 Enrollment ID: I20190702000202 |
| Provider Name | David Eng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790162303 PECOS PAC ID: 3779817283 Enrollment ID: I20190702002654 |
| Provider Name | Vicky Kuo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790147676 PECOS PAC ID: 6507195567 Enrollment ID: I20190917001945 |
| Provider Name | Melinda Huang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952783409 PECOS PAC ID: 0648500207 Enrollment ID: I20190924002718 |
| Provider Name | Jijoe M Joseph |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336521178 PECOS PAC ID: 4789017906 Enrollment ID: I20191202002318 |
| Provider Name | Solange Marie Marcel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679602536 PECOS PAC ID: 9335200153 Enrollment ID: I20200317002695 |
| Provider Name | Ravi Katari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013361021 PECOS PAC ID: 3779829924 Enrollment ID: I20200723003226 |
| Provider Name | Gordon Chien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043672272 PECOS PAC ID: 9032534953 Enrollment ID: I20200810000199 |
| Provider Name | Andrew N Harrington |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407299589 PECOS PAC ID: 3678999760 Enrollment ID: I20200819003703 |
| Provider Name | Emily Unks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093164287 PECOS PAC ID: 1951728526 Enrollment ID: I20200827000943 |
| Provider Name | Aaron Ryoo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023549912 PECOS PAC ID: 4082959184 Enrollment ID: I20200904000297 |
| Provider Name | Nazey Z Gulec |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346773975 PECOS PAC ID: 9537587241 Enrollment ID: I20200911002654 |
| Provider Name | Elliot M Bigajer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780020404 PECOS PAC ID: 0446660815 Enrollment ID: I20201113002287 |
| Provider Name | Muhammad B Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1699200634 PECOS PAC ID: 5193137669 Enrollment ID: I20201208001206 |
| Provider Name | Juan-carlos Barrera-martinez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720057953 PECOS PAC ID: 1052590874 Enrollment ID: I20201222001937 |
| Provider Name | Jenny Louissaint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104195304 PECOS PAC ID: 0749694990 Enrollment ID: I20210128002682 |
| Provider Name | Daniel Y Boadu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003856279 PECOS PAC ID: 7618384223 Enrollment ID: I20210326002227 |
| Provider Name | Myungwook Bae |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487180410 PECOS PAC ID: 8426328303 Enrollment ID: I20211117001784 |
| Provider Name | Alesia Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114592987 PECOS PAC ID: 4082004312 Enrollment ID: I20211201000546 |
| Provider Name | Spencer Thiel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639674302 PECOS PAC ID: 9830434976 Enrollment ID: I20211215001263 |
| Provider Name | Eric L Quinn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134680523 PECOS PAC ID: 6800122755 Enrollment ID: I20220509002269 |
| Provider Name | Mukul K Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558859793 PECOS PAC ID: 3870830813 Enrollment ID: I20220511000851 |
| Provider Name | John A Hauber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316408321 PECOS PAC ID: 8729318845 Enrollment ID: I20220808000140 |
| Provider Name | Denise E Mccormack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225203193 PECOS PAC ID: 3971860610 Enrollment ID: I20220822001950 |
| Provider Name | Eimon E. Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427445998 PECOS PAC ID: 2860738721 Enrollment ID: I20220822002551 |
| Provider Name | Ekmel Bermek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902366149 PECOS PAC ID: 3173907433 Enrollment ID: I20220906000970 |
| Provider Name | Michelle E Rose-dowdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194477976 PECOS PAC ID: 0941697858 Enrollment ID: I20221116001139 |
| Provider Name | Nikou Gougol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285298810 PECOS PAC ID: 9335517465 Enrollment ID: I20221122000750 |
| Provider Name | Nirmala Samuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235806191 PECOS PAC ID: 1052777422 Enrollment ID: I20230510002108 |
| Provider Name | Shivani Mohabir |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093443970 PECOS PAC ID: 2365808433 Enrollment ID: I20230515002882 |
| Provider Name | Amy Sater |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972955805 PECOS PAC ID: 6709244106 Enrollment ID: I20230616000604 |
| Provider Name | Priyan Wickremesinghe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932660933 PECOS PAC ID: 9234591280 Enrollment ID: I20230808003861 |
| Provider Name | Rasheeda Rickman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477182509 PECOS PAC ID: 6709240344 Enrollment ID: I20230914001925 |
| Provider Name | Dakota Lane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093129496 PECOS PAC ID: 4284852856 Enrollment ID: I20230918003833 |
| Provider Name | Jenya Kaminski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801425095 PECOS PAC ID: 5092160713 Enrollment ID: I20231016001032 |
| Provider Name | Sameh M Abuelkhir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235751876 PECOS PAC ID: 0143676569 Enrollment ID: I20231020002713 |
American Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 Rockaway Ave, Brooklyn, NY 11212 Phone: 718-346-2628 Fax: 718-346-9381 | |
Refua Shlema Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 499 Crown St, Brooklyn, NY 11213 Phone: 347-614-1717 | |
University Physicians Of Brooklyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Clarkson Ave, Suite A, Brooklyn, NY 11203 Phone: 718-270-1112 Fax: 718-270-3170 | |
Sikder Medical Care P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 504 Mcdonald Ave, Brooklyn, NY 11218 Phone: 917-442-1797 Fax: 718-732-0783 | |
Flatbush Medical Plaza, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1468 Flatbush Ave., Brooklyn, NY 11210 Phone: 917-966-2700 Fax: 917-966-2703 | |
Rds Medical P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7510 4th Ave, Ste 5, Brooklyn, NY 11209 Phone: 718-836-0761 Fax: 718-836-7369 | |
Brooks Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5014 Beverley Rd, Brooklyn, NY 11203 Phone: 718-241-0182 Fax: 718-451-2517 |