| Next Door Medical, PC | |
|
580 Pennsylvania Ave Brooklyn NY 11207-6308 | |
| (718) 498-4420 | |
| Not Available |
| Full Name | Next Door Medical, PC |
|---|---|
| Speciality | Family Medicine |
| Location | 580 Pennsylvania Ave, Brooklyn, New York |
| Authorized Official Name and Position | Oleg Lushpenko (MD) |
| Authorized Official Contact | 7184984420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Next Door Medical, PC 580 Pennsylvania Ave Brooklyn NY 11207-6308 | Next Door Medical, PC 580 Pennsylvania Ave Brooklyn NY 11207-6308 Ph: (718) 498-4420 |
| NPI Number | 1508903915 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0648169060 |
|---|---|
| Medicare Enrollment ID | O20040625000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508903915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 227264 (New York) | Primary |
| Provider Name | Oleg Lushpenko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184662181 PECOS PAC ID: 5597741025 Enrollment ID: I20040628000304 |
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