| Physio Logic Medicine, P.c. | |
|
409 Fulton Street 2nd Floor Brooklyn NY 11201 | |
| (718) 260-1000 | |
| (718) 260-0072 |
| Full Name | Physio Logic Medicine, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 409 Fulton Street, Brooklyn, New York |
| Authorized Official Name and Position | Jonathann C Kuo (PRESIDENT) |
| Authorized Official Contact | 7182601000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physio Logic Medicine, P.c. 281 Broadway 2nd Floor New York NY 10007-1831 Ph: (718) 260-1000 | Physio Logic Medicine, P.c. 409 Fulton Street 2nd Floor Brooklyn NY 11201 Ph: (718) 260-1000 |
| NPI Number | 1013293588 |
|---|---|
| Provider Enumeration Date | 10/28/2011 |
| Last Update Date | 04/08/2015 |
| Medicare PECOS PAC ID | 1355508664 |
|---|---|
| Medicare Enrollment ID | O20120127000847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013293588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 241732 (New York) | Primary |
| Provider Name | Kevin I Pak |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508922527 PECOS PAC ID: 0941347645 Enrollment ID: I20091029000326 |
| Provider Name | Jessica L Au |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285878249 PECOS PAC ID: 9133385073 Enrollment ID: I20131204001224 |
| Provider Name | Shady E Hassan |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1255560223 PECOS PAC ID: 2668795972 Enrollment ID: I20160318001159 |
| Provider Name | Tanuj P Palvia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679889315 PECOS PAC ID: 5193945509 Enrollment ID: I20160527001555 |
American Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 Rockaway Ave, Brooklyn, NY 11212 Phone: 718-346-2628 Fax: 718-346-9381 | |
Refua Shlema Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 499 Crown St, Brooklyn, NY 11213 Phone: 347-614-1717 | |
University Physicians Of Brooklyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Clarkson Ave, Suite A, Brooklyn, NY 11203 Phone: 718-270-1112 Fax: 718-270-3170 | |
Sikder Medical Care P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 504 Mcdonald Ave, Brooklyn, NY 11218 Phone: 917-442-1797 Fax: 718-732-0783 | |
Flatbush Medical Plaza, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1468 Flatbush Ave., Brooklyn, NY 11210 Phone: 917-966-2700 Fax: 917-966-2703 | |
Rds Medical P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7510 4th Ave, Ste 5, Brooklyn, NY 11209 Phone: 718-836-0761 Fax: 718-836-7369 | |
Brooks Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5014 Beverley Rd, Brooklyn, NY 11203 Phone: 718-241-0182 Fax: 718-451-2517 |