| Rds Medical P.c. | |
|
7510 4th Ave Ste 5 Brooklyn NY 11209-3244 | |
| (718) 836-0761 | |
| (718) 836-7369 |
| Full Name | Rds Medical P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 7510 4th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Oscar Varshavskiy (OWNER) |
| Authorized Official Contact | 7188360761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rds Medical P.c. 7510 4th Ave Ste 5 Brooklyn NY 11209-3244 Ph: (718) 836-0761 | Rds Medical P.c. 7510 4th Ave Ste 5 Brooklyn NY 11209-3244 Ph: (718) 836-0761 |
| NPI Number | 1003275975 |
|---|---|
| Provider Enumeration Date | 02/19/2016 |
| Last Update Date | 02/19/2016 |
| Medicare PECOS PAC ID | 6204133960 |
|---|---|
| Medicare Enrollment ID | O20160323000915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003275975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 223135 (New York) | Primary |
| Provider Name | Oskar Varshavskiy |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1528053659 PECOS PAC ID: 5597931477 Enrollment ID: I20111223000101 |
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