| Ny Med Of Brooklyn Llc | |
|
765 Nostrand Ave Brooklyn NY 11216 | |
| (718) 263-3500 | |
| (718) 263-3565 |
| Full Name | Ny Med Of Brooklyn Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 765 Nostrand Ave, Brooklyn, New York |
| Authorized Official Name and Position | Russell Greenseid (MEMBER) |
| Authorized Official Contact | 7187692521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ny Med Of Brooklyn Llc Po Box 750250 Forest Hills NY 11375-0250 Ph: (718) 263-3500 | Ny Med Of Brooklyn Llc 765 Nostrand Ave Brooklyn NY 11216 Ph: (718) 263-3500 |
| NPI Number | 1457011140 |
|---|---|
| Provider Enumeration Date | 12/22/2021 |
| Last Update Date | 03/24/2026 |
| Medicare PECOS PAC ID | 0345621561 |
|---|---|
| Medicare Enrollment ID | O20220720000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457011140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Howard Baum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063529287 PECOS PAC ID: 4981626579 Enrollment ID: I20051223000012 |
| Provider Name | Chanelle Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114462397 PECOS PAC ID: 0547796096 Enrollment ID: I20241209001033 |
| Provider Name | Latasha Patrina Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003671876 PECOS PAC ID: 0840718524 Enrollment ID: I20250516000604 |
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