| Ohel Medical Inc | |
|
1268 E 14th St Brooklyn NY 11230-5241 | |
| (800) 603-6435 | |
| Not Available |
| Full Name | Ohel Medical Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1268 E 14th St, Brooklyn, New York |
| Authorized Official Name and Position | Ashley Terrone (ADMINISTRATOR) |
| Authorized Official Contact | 9295648160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohel Medical Inc 1268 E 14th St Brooklyn NY 11230-5241 Ph: (800) 603-6435 | Ohel Medical Inc 1268 E 14th St Brooklyn NY 11230-5241 Ph: (800) 603-6435 |
| NPI Number | 1346938792 |
|---|---|
| Provider Enumeration Date | 04/25/2023 |
| Last Update Date | 04/25/2023 |
| Medicare PECOS PAC ID | 4981046711 |
|---|---|
| Medicare Enrollment ID | O20240524002599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346938792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Leonid Isakov |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558558122 PECOS PAC ID: 2567509094 Enrollment ID: I20240619001978 |
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