| Py Physician Services LLC | |
|
6136 170th St Apt M4 Fresh Meadows NY 11365-1957 | |
| (718) 704-0940 | |
| Not Available |
| Full Name | Py Physician Services LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 6136 170th St Apt M4, Fresh Meadows, New York |
| Authorized Official Name and Position | Peyman E Peyman (PWNER) |
| Authorized Official Contact | 7187090940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Py Physician Services LLC 6136 170th St Apt M4 Fresh Meadows NY 11365-1957 Ph: (718) 704-0940 | Py Physician Services LLC 6136 170th St Apt M4 Fresh Meadows NY 11365-1957 Ph: (718) 704-0940 |
| NPI Number | 1578267852 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Medicare PECOS PAC ID | 6204201916 |
|---|---|
| Medicare Enrollment ID | O20230412000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578267852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Igor Giterman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396090411 PECOS PAC ID: 8325282262 Enrollment ID: I20130916000723 |
| Provider Name | Rena B Kaminetzky |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366859696 PECOS PAC ID: 3779701750 Enrollment ID: I20140904002060 |
| Provider Name | Lorayne C Castiglione |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851708051 PECOS PAC ID: 3375761356 Enrollment ID: I20140904002179 |
| Provider Name | Donna Mckinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437653425 PECOS PAC ID: 2062760754 Enrollment ID: I20180813002901 |
| Provider Name | Peyman Younesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891942645 PECOS PAC ID: 0345420790 Enrollment ID: I20211208000113 |
| Provider Name | Polina Krasik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629755400 PECOS PAC ID: 1850755877 Enrollment ID: I20260115000843 |
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