| Novel Medicine Pc | |
|
9709 64 Road Rego Park NY 11374 | |
| (917) 882-5122 | |
| Not Available |
| Full Name | Novel Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9709 64 Road, Rego Park, New York |
| Authorized Official Name and Position | Rita Goldvug (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9178825122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novel Medicine Pc 9709 64 Road Rego Park NY 11374 Ph: (917) 882-5122 | Novel Medicine Pc 9709 64 Road Rego Park NY 11374 Ph: (917) 882-5122 |
| NPI Number | 1164682217 |
|---|---|
| Provider Enumeration Date | 06/12/2008 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 7810052529 |
|---|---|
| Medicare Enrollment ID | O20090212000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164682217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 196541 (New York) | Primary |
| Provider Name | Coleen Barbasa Alunan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205015286 PECOS PAC ID: 4486743374 Enrollment ID: I20071129000572 |
| Provider Name | Rita Goldvug |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447296421 PECOS PAC ID: 6002971710 Enrollment ID: I20090212000479 |
| Provider Name | Jonathan Aronbayev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750318721 PECOS PAC ID: 2567649650 Enrollment ID: I20110526000352 |
| Provider Name | Irina Zavulunova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134423478 PECOS PAC ID: 9032439229 Enrollment ID: I20171211001416 |
| Provider Name | Stephanie P Hadjail |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295332377 PECOS PAC ID: 8123410628 Enrollment ID: I20220113000043 |
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