| Samira Ovshaev DO PC | |
|
4010 Avenue J Brooklyn NY 11210-4440 | |
| (718) 266-9779 | |
| Not Available |
| Full Name | Samira Ovshaev DO PC |
|---|---|
| Speciality | Family Medicine |
| Location | 4010 Avenue J, Brooklyn, New York |
| Authorized Official Name and Position | Samira Ovshaev (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7182669779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samira Ovshaev DO PC 4010 Avenue J Brooklyn NY 11210-4440 | Samira Ovshaev DO PC 4010 Avenue J Brooklyn NY 11210-4440 Ph: (718) 266-9779 |
| NPI Number | 1437748332 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Medicare PECOS PAC ID | 3577978550 |
|---|---|
| Medicare Enrollment ID | O20210225001306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437748332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Samira Ovshaev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679518237 PECOS PAC ID: 2062488687 Enrollment ID: I20061023000058 |
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