| Lifelong Medical, P.C. | |
|
2569 Ocean Ave Brooklyn NY 11229-4576 | |
| (718) 743-7090 | |
| Not Available |
| Full Name | Lifelong Medical, P.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2569 Ocean Ave, Brooklyn, New York |
| Authorized Official Name and Position | Yuriy Pertsovsky (PRESIDENT) |
| Authorized Official Contact | 7187437090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifelong Medical, P.C. 259 Dover St Brooklyn NY 11235-3721 | Lifelong Medical, P.C. 2569 Ocean Ave Brooklyn NY 11229-4576 Ph: (718) 743-7090 |
| NPI Number | 1508817768 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 04/05/2011 |
| Medicare PECOS PAC ID | 0547151532 |
|---|---|
| Medicare Enrollment ID | O20040320000689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508817768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 214362 (New York) | Primary |
| Provider Name | Yuriy Pertsovsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326085168 PECOS PAC ID: 9335107960 Enrollment ID: I20041229000054 |
| Provider Name | Qiang Hua Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427100726 PECOS PAC ID: 7719067495 Enrollment ID: I20080108000176 |
| Provider Name | Sabina Braude |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386891638 PECOS PAC ID: 6305071721 Enrollment ID: I20131021000424 |
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