| Oleg Katcher Mdpc | |
|
1765 East 19th Street Brooklyn NY 11229-2201 | |
| (718) 758-4379 | |
| Not Available |
| Full Name | Oleg Katcher Mdpc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1765 East 19th Street, Brooklyn, New York |
| Authorized Official Name and Position | Oleg Katcher (MD) |
| Authorized Official Contact | 7187584379 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oleg Katcher Mdpc 1765 East 19th Street Brooklyn NY 11229-2201 Ph: (718) 758-4379 | Oleg Katcher Mdpc 1765 East 19th Street Brooklyn NY 11229-2201 Ph: (718) 758-4379 |
| NPI Number | 1124191325 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 05/05/2016 |
| Medicare PECOS PAC ID | 6305917071 |
|---|---|
| Medicare Enrollment ID | O20080624000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124191325 | NPI | - | NPPES |
| 02461714 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 211769 (New York) | Primary |
| Provider Name | Oleg Katcher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598701468 PECOS PAC ID: 4789575184 Enrollment ID: I20040324000289 |
| Provider Name | Andrew Henry Oliff |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255485611 PECOS PAC ID: 6406880483 Enrollment ID: I20050920000247 |
| Provider Name | Lala Briskman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932537701 PECOS PAC ID: 2466682612 Enrollment ID: I20140307001347 |
| Provider Name | Jane L Rupp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881469237 PECOS PAC ID: 4284071820 Enrollment ID: I20240319002114 |
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