| Rego Medical P.C. | |
|
1513 Voorhies Ave Ste Ll Brooklyn NY 11235-3994 | |
| (718) 332-5617 | |
| Not Available |
| Full Name | Rego Medical P.C. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1513 Voorhies Ave Ste Ll, Brooklyn, New York |
| Authorized Official Name and Position | Mark Kostin (PRESIDENT) |
| Authorized Official Contact | 7183325617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rego Medical P.C. 1513 Voorhies Ave Ste Ll Brooklyn NY 11235-3994 Ph: (718) 332-5617 | Rego Medical P.C. 1513 Voorhies Ave Ste Ll Brooklyn NY 11235-3994 Ph: (718) 332-5617 |
| NPI Number | 1861602633 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8628308616 |
|---|---|
| Medicare Enrollment ID | O20190917003187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861602633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Mark Kostin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790797322 PECOS PAC ID: 7719956457 Enrollment ID: I20040929000324 |
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