| Sephardic Medical PC | |
|
2448 Coney Island Ave Brooklyn NY 11223-5022 | |
| (518) 504-0499 | |
| Not Available |
| Full Name | Sephardic Medical PC |
|---|---|
| Speciality | Family Medicine |
| Location | 2448 Coney Island Ave, Brooklyn, New York |
| Authorized Official Name and Position | David Orfali (PRESIDENT) |
| Authorized Official Contact | 7185409230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sephardic Medical PC 2448 Coney Island Ave Brooklyn NY 11223-5022 Ph: (917) 538-4681 | Sephardic Medical PC 2448 Coney Island Ave Brooklyn NY 11223-5022 Ph: (518) 504-0499 |
| NPI Number | 1982289609 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 02/19/2025 |
| Certification Date | 02/19/2025 |
| Medicare PECOS PAC ID | 7618363656 |
|---|---|
| Medicare Enrollment ID | O20220331000899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982289609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Ezra Hazan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1649666975 PECOS PAC ID: 3971882002 Enrollment ID: I20200625000202 |
| Provider Name | David Orfali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154810166 PECOS PAC ID: 2163818105 Enrollment ID: I20220331001029 |
| Provider Name | Benjamin Mann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942769716 PECOS PAC ID: 2264885227 Enrollment ID: I20240126001078 |
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