| South Brooklyn Medical Care, Pc | |
|
2705 Mermaid Ave Brooklyn NY 11224-2005 | |
| (718) 265-2222 | |
| (718) 333-1023 |
| Full Name | South Brooklyn Medical Care, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2705 Mermaid Ave, Brooklyn, New York |
| Authorized Official Name and Position | Michael Tavdy (PRESIDENT) |
| Authorized Official Contact | 7182652222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Brooklyn Medical Care, Pc 2705 Mermaid Ave Brooklyn NY 11224-2005 Ph: (718) 265-2222 | South Brooklyn Medical Care, Pc 2705 Mermaid Ave Brooklyn NY 11224-2005 Ph: (718) 265-2222 |
| NPI Number | 1639246150 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6002844933 |
|---|---|
| Medicare Enrollment ID | O20050801000937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639246150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 221582 (New York) | Primary |
| Provider Name | Ilias Almakaev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649238668 PECOS PAC ID: 8628065174 Enrollment ID: I20040427001695 |
| Provider Name | Michael Tavdy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720016793 PECOS PAC ID: 0042270480 Enrollment ID: I20041012000254 |
| Provider Name | Stella Ilyaev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912907742 PECOS PAC ID: 4981613387 Enrollment ID: I20060412000662 |
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