| University Physicians Of Brooklyn, Inc. | |
|
450 Clarkson Ave Brooklyn NY 11203-2056 | |
| (718) 270-8867 | |
| (718) 270-1794 |
| Full Name | University Physicians Of Brooklyn, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 450 Clarkson Ave, Brooklyn, New York |
| Authorized Official Name and Position | Dennis Price (CFO) |
| Authorized Official Contact | 7182708867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Physicians Of Brooklyn, Inc. 450 Clarkson Ave Box 80 Brooklyn NY 11203-2056 Ph: (718) 270-8867 | University Physicians Of Brooklyn, Inc. 450 Clarkson Ave Brooklyn NY 11203-2056 Ph: (718) 270-8867 |
| NPI Number | 1366506271 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0749192284 |
|---|---|
| Medicare Enrollment ID | O20040401000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366506271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Boris L Bentsianov |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407816747 PECOS PAC ID: 0840103578 Enrollment ID: I20031110000263 |
| Provider Name | Jeffrey S Borer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609963792 PECOS PAC ID: 0840184933 Enrollment ID: I20040210000778 |
| Provider Name | Don B Bandari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558362673 PECOS PAC ID: 5597653253 Enrollment ID: I20040305000467 |
| Provider Name | Robert F Foronjy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891860672 PECOS PAC ID: 8325937980 Enrollment ID: I20040311001330 |
| Provider Name | Henry M Tischler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003812199 PECOS PAC ID: 1355232968 Enrollment ID: I20040323001062 |
| Provider Name | Wellman W Cheung |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548264005 PECOS PAC ID: 0244121499 Enrollment ID: I20040324001417 |
| Provider Name | Rajani S Lowe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487613824 PECOS PAC ID: 2062304132 Enrollment ID: I20040325000905 |
| Provider Name | Rauno O Joks |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770577447 PECOS PAC ID: 6901798933 Enrollment ID: I20040325001326 |
| Provider Name | Everton A Prospere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497740807 PECOS PAC ID: 3779475090 Enrollment ID: I20040329001805 |
| Provider Name | Daniel Cukor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891733655 PECOS PAC ID: 3173415452 Enrollment ID: I20040330000357 |
| Provider Name | Anil Kumar Mongia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245215441 PECOS PAC ID: 7214929306 Enrollment ID: I20040331000010 |
| Provider Name | Otis Jones |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861563538 PECOS PAC ID: 2264426667 Enrollment ID: I20040408001594 |
| Provider Name | Subodh J Saggi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952399693 PECOS PAC ID: 1456347640 Enrollment ID: I20040422001291 |
| Provider Name | Getahun Kifle |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932183258 PECOS PAC ID: 0941296016 Enrollment ID: I20040423000194 |
| Provider Name | Steven F Liverpool |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790779403 PECOS PAC ID: 7416945175 Enrollment ID: I20040503001113 |
| Provider Name | Andrew R Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801868419 PECOS PAC ID: 1759362718 Enrollment ID: I20040526000314 |
| Provider Name | Paul Lui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720027790 PECOS PAC ID: 1850373515 Enrollment ID: I20040605000055 |
| Provider Name | Mona Pervil-ulysse |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1144215559 PECOS PAC ID: 9133102098 Enrollment ID: I20040610001595 |
| Provider Name | Nancy Talavera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861488959 PECOS PAC ID: 0345224085 Enrollment ID: I20040617001625 |
| Provider Name | Jeffrey Alan Feola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477586303 PECOS PAC ID: 9931184991 Enrollment ID: I20040623000266 |
| Provider Name | Vatcharapan Umpaichitra |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770521205 PECOS PAC ID: 3870570104 Enrollment ID: I20040702001109 |
| Provider Name | Ellen M Ginzler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952395618 PECOS PAC ID: 7113904376 Enrollment ID: I20040706000712 |
| Provider Name | Sarita Dhuper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811905201 PECOS PAC ID: 3274511274 Enrollment ID: I20040707001218 |
| Provider Name | Robert F Leonardo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164466637 PECOS PAC ID: 0547248320 Enrollment ID: I20040708001147 |
| Provider Name | Deborah L Reede |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639100084 PECOS PAC ID: 1850379603 Enrollment ID: I20040709000159 |
| Provider Name | Rhonda P Osborne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558391946 PECOS PAC ID: 2365420023 Enrollment ID: I20040709000354 |
| Provider Name | Alicja Hanna Goracy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780613612 PECOS PAC ID: 6204815681 Enrollment ID: I20040719000735 |
| Provider Name | Daniel Friedman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326067885 PECOS PAC ID: 4688653983 Enrollment ID: I20040720000002 |
| Provider Name | John Kassotis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598759003 PECOS PAC ID: 4284604141 Enrollment ID: I20040728000778 |
| Provider Name | Suzanne Braun |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972597581 PECOS PAC ID: 7416927397 Enrollment ID: I20040728000914 |
| Provider Name | Simon S Rabinowitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144314360 PECOS PAC ID: 0941273353 Enrollment ID: I20040814000084 |
| Provider Name | Sydney C Butts |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275560047 PECOS PAC ID: 7012980162 Enrollment ID: I20040817000402 |
| Provider Name | Tsai Chao |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609850668 PECOS PAC ID: 7618943689 Enrollment ID: I20040909001414 |
| Provider Name | Anurag Chandra |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093716870 PECOS PAC ID: 6204804768 Enrollment ID: I20040922000532 |
| Provider Name | James A Amend |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649341637 PECOS PAC ID: 2668433582 Enrollment ID: I20041025000309 |
| Provider Name | Paul A Pipia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417931734 PECOS PAC ID: 5193780575 Enrollment ID: I20041124000566 |
| Provider Name | Huntz Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407832330 PECOS PAC ID: 6002872124 Enrollment ID: I20041209000418 |
| Provider Name | Adam S Budzikowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790725125 PECOS PAC ID: 4385692912 Enrollment ID: I20050110000991 |
| Provider Name | Igor Kirzhner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942311915 PECOS PAC ID: 4284610007 Enrollment ID: I20050125000669 |
| Provider Name | Michael M Herskowitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073599239 PECOS PAC ID: 0749227726 Enrollment ID: I20050412000141 |
| Provider Name | Krishnamurthi Sundaram |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306821921 PECOS PAC ID: 0941242077 Enrollment ID: I20050527000656 |
| Provider Name | Stephen A Waite |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619955283 PECOS PAC ID: 3375439227 Enrollment ID: I20050607000007 |
| Provider Name | Matthew Hanson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982689014 PECOS PAC ID: 9234173758 Enrollment ID: I20050615000894 |
| Provider Name | Jennifer M Martino-hahn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336170919 PECOS PAC ID: 7113963232 Enrollment ID: I20050629000478 |
| Provider Name | Nira A Goldstein |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689658288 PECOS PAC ID: 1557307428 Enrollment ID: I20050630000478 |
| Provider Name | Iuliana Shapira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760553762 PECOS PAC ID: 8729024674 Enrollment ID: I20050630001126 |
| Provider Name | John Sharkey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053395640 PECOS PAC ID: 2163468661 Enrollment ID: I20050706001046 |
| Provider Name | Bibi F Khartoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700870482 PECOS PAC ID: 9830127240 Enrollment ID: I20050727000902 |
| Provider Name | Shahzad Iqbal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386667947 PECOS PAC ID: 7214965193 Enrollment ID: I20050802001269 |
| Provider Name | Lawrence K Fordjour |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487639951 PECOS PAC ID: 5193757227 Enrollment ID: I20050908001138 |
| Provider Name | Fasika M Tedla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760482822 PECOS PAC ID: 4587698469 Enrollment ID: I20050920001150 |
| Provider Name | Hyman Shwarzberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215913322 PECOS PAC ID: 6800811597 Enrollment ID: I20051012000043 |
| Provider Name | Hesham M Taha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922067941 PECOS PAC ID: 8628094794 Enrollment ID: I20051018000710 |
| Provider Name | Judith E Mitchell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750376125 PECOS PAC ID: 8921024928 Enrollment ID: I20051019000551 |
| Provider Name | Robert Kaylakov |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184683633 PECOS PAC ID: 9335160183 Enrollment ID: I20051208000671 |
| Provider Name | Daniel Q Levin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366428294 PECOS PAC ID: 6002846946 Enrollment ID: I20051221000409 |
| Provider Name | Ramaswamy Viswanathan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215986831 PECOS PAC ID: 1951323088 Enrollment ID: I20060103000629 |
| Provider Name | Marc Kennedy Ross |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750485991 PECOS PAC ID: 7416965678 Enrollment ID: I20060329000522 |
| Provider Name | Woo S Choi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083654958 PECOS PAC ID: 5496758716 Enrollment ID: I20060807000067 |
| Provider Name | Mary Mallappallil |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578586392 PECOS PAC ID: 1850395849 Enrollment ID: I20060906000127 |
| Provider Name | Hal L Chadow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669466835 PECOS PAC ID: 3274539333 Enrollment ID: I20070227000715 |
| Provider Name | Alla Akivis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720073976 PECOS PAC ID: 6204930191 Enrollment ID: I20070403000066 |
| Provider Name | Jameela J Yusuff |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124051388 PECOS PAC ID: 7618072885 Enrollment ID: I20070417000240 |
| Provider Name | Damodar Reddy Thambireddy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568541209 PECOS PAC ID: 1153377239 Enrollment ID: I20070430000234 |
| Provider Name | Elliot Regenbogen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659373058 PECOS PAC ID: 0143326207 Enrollment ID: I20070507000184 |
| Provider Name | Mohan Preet |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134243595 PECOS PAC ID: 2769580158 Enrollment ID: I20070608000075 |
| Provider Name | Sanjeev Agarwal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154487528 PECOS PAC ID: 1850483801 Enrollment ID: I20070822000537 |
| Provider Name | Han-mou Tsai |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1043391469 PECOS PAC ID: 2163515610 Enrollment ID: I20070829000817 |
| Provider Name | Carl Benjamin Paulino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881884468 PECOS PAC ID: 2860588126 Enrollment ID: I20071017000817 |
| Provider Name | Brian J Magee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942498878 PECOS PAC ID: 4183711468 Enrollment ID: I20071102000399 |
| Provider Name | Srinivas R Kolla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871535633 PECOS PAC ID: 4486654761 Enrollment ID: I20080111000445 |
| Provider Name | Amjad Hindi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487854964 PECOS PAC ID: 0143302158 Enrollment ID: I20080130000243 |
| Provider Name | Jack A Dehovitz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962496141 PECOS PAC ID: 8426132176 Enrollment ID: I20080220000208 |
| Provider Name | Tejal Lalaji |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225003320 PECOS PAC ID: 3577526524 Enrollment ID: I20080318000578 |
| Provider Name | Craig N Linden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215992300 PECOS PAC ID: 3173609690 Enrollment ID: I20080325000244 |
| Provider Name | Alejandro R Zuretti |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790771509 PECOS PAC ID: 1557449667 Enrollment ID: I20080415000268 |
| Provider Name | Jaime A Uribe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174700496 PECOS PAC ID: 0840378063 Enrollment ID: I20080429000022 |
| Provider Name | Montgomery B Douglas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114120839 PECOS PAC ID: 0749237543 Enrollment ID: I20080709000573 |
| Provider Name | Scott A Lehto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770785321 PECOS PAC ID: 0749356657 Enrollment ID: I20080828000588 |
| Provider Name | Olga Dvorkina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639163835 PECOS PAC ID: 9931276805 Enrollment ID: I20080918000000 |
| Provider Name | Nancy Soloman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073508099 PECOS PAC ID: 7810058187 Enrollment ID: I20081204000577 |
| Provider Name | Yaoping Zhang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932351285 PECOS PAC ID: 9436210267 Enrollment ID: I20081211000285 |
| Provider Name | Scott Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043352982 PECOS PAC ID: 2365456084 Enrollment ID: I20081211000706 |
| Provider Name | Scott T Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982689741 PECOS PAC ID: 1254493851 Enrollment ID: I20081216000221 |
| Provider Name | Robert-arne B Sullivan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831103613 PECOS PAC ID: 0143387092 Enrollment ID: I20090320000536 |
| Provider Name | Jonathan D Marmur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184619652 PECOS PAC ID: 0244397057 Enrollment ID: I20090324000028 |
| Provider Name | Raavi Gupta |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760471627 PECOS PAC ID: 4385701853 Enrollment ID: I20090327000182 |
| Provider Name | Oded Greenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003892928 PECOS PAC ID: 0840341533 Enrollment ID: I20090618000713 |
| Provider Name | Safak Reka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538154844 PECOS PAC ID: 7618021700 Enrollment ID: I20090825000319 |
| Provider Name | Erdal Cavusoglu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417941683 PECOS PAC ID: 7618015942 Enrollment ID: I20091106000376 |
| Provider Name | Jonathan D Somma |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659501385 PECOS PAC ID: 8527106640 Enrollment ID: I20091111000067 |
| Provider Name | William Kwon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1740440494 PECOS PAC ID: 3375683683 Enrollment ID: I20091217000461 |
| Provider Name | John B Amodio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164486668 PECOS PAC ID: 4981744299 Enrollment ID: I20091217000482 |
| Provider Name | John M Quale |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023003332 PECOS PAC ID: 0941336317 Enrollment ID: I20100325000319 |
| Provider Name | Steven M Weiss |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114912144 PECOS PAC ID: 5991831299 Enrollment ID: I20100325000679 |
| Provider Name | John J Delury |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679567754 PECOS PAC ID: 0143356444 Enrollment ID: I20100325000714 |
| Provider Name | Alan Feit |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245224716 PECOS PAC ID: 4880723535 Enrollment ID: I20100519000188 |
| Provider Name | Michael Augenbraun |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184618332 PECOS PAC ID: 3678603776 Enrollment ID: I20100616000838 |
| Provider Name | Haiyan Lu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225104797 PECOS PAC ID: 2567592553 Enrollment ID: I20100618000177 |
| Provider Name | Mary Ann Banerji |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790779957 PECOS PAC ID: 8628109923 Enrollment ID: I20100630000794 |
| Provider Name | Clinton D Brown |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538153614 PECOS PAC ID: 3274665443 Enrollment ID: I20100723000376 |
| Provider Name | Louis F Salciccioli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326033630 PECOS PAC ID: 2062544109 Enrollment ID: I20100726000002 |
| Provider Name | Eve S Faber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962496117 PECOS PAC ID: 7810029972 Enrollment ID: I20100726000189 |
| Provider Name | Eli A Friedman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407840986 PECOS PAC ID: 8123049319 Enrollment ID: I20100726000340 |
| Provider Name | Barbara G Delano |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750375937 PECOS PAC ID: 8325170400 Enrollment ID: I20100726000381 |
| Provider Name | Jason M Lazar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295729721 PECOS PAC ID: 0749312825 Enrollment ID: I20100726000413 |
| Provider Name | Moro O Salifu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275528598 PECOS PAC ID: 0547392623 Enrollment ID: I20100726000435 |
| Provider Name | Amiram Samin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790761807 PECOS PAC ID: 5597898379 Enrollment ID: I20100730000169 |
| Provider Name | Harry L Zinn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508842808 PECOS PAC ID: 0648303438 Enrollment ID: I20100730000218 |
| Provider Name | Melissa Gill |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467602581 PECOS PAC ID: 4789717489 Enrollment ID: I20100802000756 |
| Provider Name | Richard Sadovsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205820453 PECOS PAC ID: 0547394439 Enrollment ID: I20100813000610 |
| Provider Name | Arnold M Strashun |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1578549689 PECOS PAC ID: 5193859965 Enrollment ID: I20100816000345 |
| Provider Name | Temitope Jose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770578213 PECOS PAC ID: 1951435643 Enrollment ID: I20100817000896 |
| Provider Name | William P Urban |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114901709 PECOS PAC ID: 1759415334 Enrollment ID: I20100818000419 |
| Provider Name | Margaret Donat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427042670 PECOS PAC ID: 7416149612 Enrollment ID: I20101006000752 |
| Provider Name | Thulasiram Janardhanan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104871680 PECOS PAC ID: 8820281181 Enrollment ID: I20101019000642 |
| Provider Name | Marina Boruk |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235166281 PECOS PAC ID: 6608872700 Enrollment ID: I20101027000161 |
| Provider Name | Evan B Grossman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932367331 PECOS PAC ID: 2860686342 Enrollment ID: I20101028000744 |
| Provider Name | Kevin D Becker |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023275633 PECOS PAC ID: 9537354741 Enrollment ID: I20101113000256 |
| Provider Name | Daniel Masri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790971489 PECOS PAC ID: 2264627470 Enrollment ID: I20101113000260 |
| Provider Name | Justin A Classie |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1588896708 PECOS PAC ID: 3072709252 Enrollment ID: I20101130000936 |
| Provider Name | Nathaniel Winer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245225598 PECOS PAC ID: 1052413671 Enrollment ID: I20101202000320 |
| Provider Name | Mariana S Markell |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043204779 PECOS PAC ID: 3870781073 Enrollment ID: I20110103000219 |
| Provider Name | David S Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225291685 PECOS PAC ID: 6800077058 Enrollment ID: I20110222000774 |
| Provider Name | Johanna Echavez Calo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114137536 PECOS PAC ID: 3971786005 Enrollment ID: I20110325000682 |
| Provider Name | Joshua Silverman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821206269 PECOS PAC ID: 5698815413 Enrollment ID: I20110331000954 |
| Provider Name | Aditya V Maheshwari |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053512574 PECOS PAC ID: 1759566268 Enrollment ID: I20110427000468 |
| Provider Name | Nina T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043499015 PECOS PAC ID: 1355526872 Enrollment ID: I20110427000637 |
| Provider Name | Hanan K Tawadrous |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346554060 PECOS PAC ID: 1850576141 Enrollment ID: I20110502000397 |
| Provider Name | Justin Loona |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316244213 PECOS PAC ID: 1456529718 Enrollment ID: I20110713000206 |
| Provider Name | Kristina Loukeris |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538326491 PECOS PAC ID: 2961670989 Enrollment ID: I20110719000305 |
| Provider Name | Amarpali Brar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104001718 PECOS PAC ID: 4587835145 Enrollment ID: I20110913000050 |
| Provider Name | Ensor Gumbs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154506947 PECOS PAC ID: 0042481343 Enrollment ID: I20110919000009 |
| Provider Name | Jeffrey B Alpert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861674582 PECOS PAC ID: 7517130461 Enrollment ID: I20111109000562 |
| Provider Name | Richard Rosenfeld |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356360267 PECOS PAC ID: 7113191693 Enrollment ID: I20111118000218 |
| Provider Name | Vijay K Mattoo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780625277 PECOS PAC ID: 6901070085 Enrollment ID: I20111130000189 |
| Provider Name | Stephan A Kohlhoff |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083789234 PECOS PAC ID: 7810164944 Enrollment ID: I20120112000714 |
| Provider Name | Samir A Fahmy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831183599 PECOS PAC ID: 7911956628 Enrollment ID: I20120221000714 |
| Provider Name | Karlene S Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194761528 PECOS PAC ID: 1850551078 Enrollment ID: I20120327000093 |
| Provider Name | Saleh Saleh |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659558088 PECOS PAC ID: 6002078722 Enrollment ID: I20120425000578 |
| Provider Name | Walter Wallace Valesky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790925329 PECOS PAC ID: 3274789078 Enrollment ID: I20120810000148 |
| Provider Name | Anne Wyman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093016149 PECOS PAC ID: 7113177999 Enrollment ID: I20121102000005 |
| Provider Name | Ning N Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255590378 PECOS PAC ID: 2365605821 Enrollment ID: I20130417000697 |
| Provider Name | Natalya Chernichenko |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255500906 PECOS PAC ID: 9335384312 Enrollment ID: I20130506000092 |
| Provider Name | Manisha Singh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366689663 PECOS PAC ID: 9436305364 Enrollment ID: I20130604000108 |
| Provider Name | Nisha Ver Halen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871868158 PECOS PAC ID: 4880836782 Enrollment ID: I20130806000042 |
| Provider Name | Jessica Eve Yager |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922208743 PECOS PAC ID: 5193981496 Enrollment ID: I20130814000982 |
| Provider Name | Qazi F Uddin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609180306 PECOS PAC ID: 3577713874 Enrollment ID: I20130926000000 |
| Provider Name | Richard E Hong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922205632 PECOS PAC ID: 6901032556 Enrollment ID: I20131204000620 |
| Provider Name | Maria- Anna Vastardi |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1255640181 PECOS PAC ID: 0941437776 Enrollment ID: I20131226000170 |
| Provider Name | Emily R Concepcion |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275879231 PECOS PAC ID: 8820225501 Enrollment ID: I20131231000134 |
| Provider Name | Mohamed Rami Nakeshbandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871787812 PECOS PAC ID: 5496808651 Enrollment ID: I20140124000001 |
| Provider Name | Hiroyuki Yoshihara |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316102650 PECOS PAC ID: 0749419323 Enrollment ID: I20140130000901 |
| Provider Name | Seung J. Park Shin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497739452 PECOS PAC ID: 1153581731 Enrollment ID: I20140327001492 |
| Provider Name | Hector Ojeda-martinez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407091697 PECOS PAC ID: 7012149289 Enrollment ID: I20140423000085 |
| Provider Name | Eric Ledermann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871722801 PECOS PAC ID: 1557585247 Enrollment ID: I20140619002261 |
| Provider Name | Brandon Eilertson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922283597 PECOS PAC ID: 0749406304 Enrollment ID: I20140717001349 |
| Provider Name | Pooja Murthy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144513078 PECOS PAC ID: 5991921314 Enrollment ID: I20140721001929 |
| Provider Name | Paul Pipitone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093921264 PECOS PAC ID: 3476779190 Enrollment ID: I20140801000056 |
| Provider Name | Shkendie Velia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104138932 PECOS PAC ID: 2668699455 Enrollment ID: I20140819002109 |
| Provider Name | Christine Shaneeza Persaud |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1497073274 PECOS PAC ID: 0446478960 Enrollment ID: I20140826000379 |
| Provider Name | Vivian Chin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265729412 PECOS PAC ID: 4486872777 Enrollment ID: I20140828000761 |
| Provider Name | Archana M Bhatt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033476593 PECOS PAC ID: 5193945558 Enrollment ID: I20141007000439 |
| Provider Name | Jianying Zeng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134358773 PECOS PAC ID: 2062632201 Enrollment ID: I20141009002336 |
| Provider Name | Shivakumar Vignesh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033193891 PECOS PAC ID: 0941195879 Enrollment ID: I20150114000068 |
| Provider Name | Oluwatoyin F Bamgbola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851369334 PECOS PAC ID: 9335163393 Enrollment ID: I20150319002138 |
| Provider Name | Qiang Xie |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427285386 PECOS PAC ID: 3072744457 Enrollment ID: I20150713001008 |
| Provider Name | Michael Reinhardt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457587594 PECOS PAC ID: 2062726342 Enrollment ID: I20150730012073 |
| Provider Name | Gabriel Rebick |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831351212 PECOS PAC ID: 1951615962 Enrollment ID: I20150805006462 |
| Provider Name | Arye Kremer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417273772 PECOS PAC ID: 4789998535 Enrollment ID: I20150806011960 |
| Provider Name | Lillian Chu Chow |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972778520 PECOS PAC ID: 6002089661 Enrollment ID: I20150901002347 |
| Provider Name | Thomas E Wallach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801162870 PECOS PAC ID: 2365759222 Enrollment ID: I20150910000708 |
| Provider Name | David A Zelman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346526829 PECOS PAC ID: 4688890460 Enrollment ID: I20151013000383 |
| Provider Name | Savanna Thor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457672529 PECOS PAC ID: 2163731191 Enrollment ID: I20151014001478 |
| Provider Name | Richard G Chang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154648475 PECOS PAC ID: 0840509154 Enrollment ID: I20151027000937 |
| Provider Name | Scott Barbash |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164756193 PECOS PAC ID: 1557671302 Enrollment ID: I20151105002531 |
| Provider Name | William Zinn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912984238 PECOS PAC ID: 2062460694 Enrollment ID: I20151110001091 |
| Provider Name | Khalid Hesham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619105475 PECOS PAC ID: 4284934266 Enrollment ID: I20151123002202 |
| Provider Name | Danielle Casagrande |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235254376 PECOS PAC ID: 9931324258 Enrollment ID: I20151202000641 |
| Provider Name | Emmanuel Michael Illical |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275926578 PECOS PAC ID: 1254633720 Enrollment ID: I20151230002095 |
| Provider Name | Jennifer Katz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144454976 PECOS PAC ID: 5092011957 Enrollment ID: I20160303000409 |
| Provider Name | Susan M Stickevers |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912089566 PECOS PAC ID: 6507042140 Enrollment ID: I20160418000573 |
| Provider Name | John Anthony Sobrevega |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013392109 PECOS PAC ID: 5193014074 Enrollment ID: I20160516002250 |
| Provider Name | Romain R Branch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689835092 PECOS PAC ID: 1254519572 Enrollment ID: I20160602000414 |
| Provider Name | Jason M Mckean |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104083849 PECOS PAC ID: 2365733060 Enrollment ID: I20160628001978 |
| Provider Name | Daniel E Winetsky |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023378312 PECOS PAC ID: 6800188954 Enrollment ID: I20160711000129 |
| Provider Name | Aleksander Feoktistov |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1619935673 PECOS PAC ID: 4183680259 Enrollment ID: I20160907000321 |
| Provider Name | Donnie Bell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659576171 PECOS PAC ID: 2961668892 Enrollment ID: I20160908000735 |
| Provider Name | Anju Dubey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801112339 PECOS PAC ID: 7618263161 Enrollment ID: I20160908002084 |
| Provider Name | Boriana S Kamenova |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003869108 PECOS PAC ID: 7719921741 Enrollment ID: I20160921002558 |
| Provider Name | Yamen Marhaf Homsi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1598052581 PECOS PAC ID: 5597988345 Enrollment ID: I20161028000398 |
| Provider Name | Stefan J Mlot |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962726760 PECOS PAC ID: 7416264601 Enrollment ID: I20161109001414 |
| Provider Name | Ann W Plum |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669762019 PECOS PAC ID: 9032491550 Enrollment ID: I20170118001195 |
| Provider Name | Aaliya Burza |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477700425 PECOS PAC ID: 7012290778 Enrollment ID: I20170203001992 |
| Provider Name | Melissa Pencille |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407393952 PECOS PAC ID: 9234406398 Enrollment ID: I20170522002011 |
| Provider Name | Seah H Lim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508890641 PECOS PAC ID: 5890790737 Enrollment ID: I20170525000872 |
| Provider Name | Katherine L Vaidy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447542527 PECOS PAC ID: 5597036970 Enrollment ID: I20170803000200 |
| Provider Name | Justin Tsai |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912297359 PECOS PAC ID: 5799078051 Enrollment ID: I20171004002983 |
| Provider Name | Liza Valdivia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386904274 PECOS PAC ID: 9931328473 Enrollment ID: I20171006000334 |
| Provider Name | Kevin Leung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205118924 PECOS PAC ID: 9537460266 Enrollment ID: I20171006001216 |
| Provider Name | Americo Eloy Esquibies |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316920523 PECOS PAC ID: 5799755880 Enrollment ID: I20171107002433 |
| Provider Name | Ofer Azoulay |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184141798 PECOS PAC ID: 3375800717 Enrollment ID: I20171120002793 |
| Provider Name | Dina Ghoneim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770725707 PECOS PAC ID: 7618266925 Enrollment ID: I20180115000150 |
| Provider Name | Alexander Parpas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356752448 PECOS PAC ID: 0648560649 Enrollment ID: I20180125003274 |
| Provider Name | Uri A Goldberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568872828 PECOS PAC ID: 0143504480 Enrollment ID: I20180215001038 |
| Provider Name | Charles Manopla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639596182 PECOS PAC ID: 2062773260 Enrollment ID: I20180305001369 |
| Provider Name | Steven M Koehler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821387085 PECOS PAC ID: 5698067759 Enrollment ID: I20180312000243 |
| Provider Name | Roosevelt Boursiquot |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013399872 PECOS PAC ID: 6406101104 Enrollment ID: I20180621000183 |
| Provider Name | Joseph Montecalvo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114263290 PECOS PAC ID: 9436406410 Enrollment ID: I20180723000550 |
| Provider Name | Mohammed Emam |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1700152782 PECOS PAC ID: 6204104839 Enrollment ID: I20180724002556 |
| Provider Name | Bair Cadet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952724866 PECOS PAC ID: 8527317957 Enrollment ID: I20180820000085 |
| Provider Name | Yara E Perez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235438961 PECOS PAC ID: 9638429111 Enrollment ID: I20180904001577 |
| Provider Name | Michael Fingerhood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477864973 PECOS PAC ID: 5890936900 Enrollment ID: I20180911002695 |
| Provider Name | Patrick Francis Cleary |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1609287770 PECOS PAC ID: 3971854316 Enrollment ID: I20180924001428 |
| Provider Name | Charles Marc Ekstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689930141 PECOS PAC ID: 7618269838 Enrollment ID: I20181029000264 |
| Provider Name | Yi-loong Colin Woon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003182973 PECOS PAC ID: 8224348495 Enrollment ID: I20181107001957 |
| Provider Name | Lina Xuejiao Hu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841377959 PECOS PAC ID: 3274638168 Enrollment ID: I20181108001843 |
| Provider Name | Aleksandre Toreli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346533536 PECOS PAC ID: 8022353689 Enrollment ID: I20181231000700 |
| Provider Name | Bassam J Daghman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790798304 PECOS PAC ID: 8325944887 Enrollment ID: I20190314001914 |
| Provider Name | Amit Sanghi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720280530 PECOS PAC ID: 0941469613 Enrollment ID: I20190425001233 |
| Provider Name | Sine Akten |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891010641 PECOS PAC ID: 1153663877 Enrollment ID: I20190430000887 |
| Provider Name | Ernie Yap |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407003734 PECOS PAC ID: 3870762339 Enrollment ID: I20190620000229 |
| Provider Name | Naureen Kabani |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821436346 PECOS PAC ID: 0547594434 Enrollment ID: I20190626002956 |
| Provider Name | Sara Abu Ghanem |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114442621 PECOS PAC ID: 5890067235 Enrollment ID: I20190730002795 |
| Provider Name | Daniel Levitan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538503461 PECOS PAC ID: 0941547061 Enrollment ID: I20190802000788 |
| Provider Name | Lina Soni |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649687963 PECOS PAC ID: 4284971383 Enrollment ID: I20190808001014 |
| Provider Name | Farah Hussain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790128866 PECOS PAC ID: 8426284100 Enrollment ID: I20190903002302 |
| Provider Name | Rosa L Arancibia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205125846 PECOS PAC ID: 5092082453 Enrollment ID: I20190909001995 |
| Provider Name | Steven M Andelman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346683067 PECOS PAC ID: 8921357237 Enrollment ID: I20190910003763 |
| Provider Name | Qais Naziri |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215375894 PECOS PAC ID: 8426394834 Enrollment ID: I20190920002807 |
| Provider Name | Jennifer Hashem |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1861550857 PECOS PAC ID: 1254606197 Enrollment ID: I20191010001790 |
| Provider Name | Gregory Carbonella |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952537433 PECOS PAC ID: 8123336583 Enrollment ID: I20191016003111 |
| Provider Name | Thomas John Duggan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164781084 PECOS PAC ID: 9830421270 Enrollment ID: I20191104002429 |
| Provider Name | Derek J Ho |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649699232 PECOS PAC ID: 5597002535 Enrollment ID: I20191112000480 |
| Provider Name | Nishant Suneja |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831532845 PECOS PAC ID: 3476801978 Enrollment ID: I20191114003299 |
| Provider Name | Christopher Chapman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720620149 PECOS PAC ID: 6305279670 Enrollment ID: I20191129000178 |
| Provider Name | Luis Lantigua-tatem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205125820 PECOS PAC ID: 5698990646 Enrollment ID: I20200129002221 |
| Provider Name | Okwudili Nnaji |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912144403 PECOS PAC ID: 8224171475 Enrollment ID: I20200330000477 |
| Provider Name | Anna Rose Plourde |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154697894 PECOS PAC ID: 9537401104 Enrollment ID: I20201002000340 |
| Provider Name | Isha Puri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407236797 PECOS PAC ID: 7214357961 Enrollment ID: I20201019000636 |
| Provider Name | Fernando Ariza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699750638 PECOS PAC ID: 5799764056 Enrollment ID: I20201020001115 |
| Provider Name | Jad Bou Monsef |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770900730 PECOS PAC ID: 6002126281 Enrollment ID: I20201029002666 |
| Provider Name | Scherly Leon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952627424 PECOS PAC ID: 4587899950 Enrollment ID: I20201113000242 |
| Provider Name | Yohannes Melaku |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972916823 PECOS PAC ID: 6204149404 Enrollment ID: I20201117000758 |
| Provider Name | Neil Singhani |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1992169478 PECOS PAC ID: 5092126151 Enrollment ID: I20201120000414 |
| Provider Name | Milena Rodriguez Alvarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427150762 PECOS PAC ID: 4183035066 Enrollment ID: I20201125000544 |
| Provider Name | Julieta Sanchez-ruiz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053792952 PECOS PAC ID: 6608288550 Enrollment ID: I20201217000367 |
| Provider Name | Haris M Choudry |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770970303 PECOS PAC ID: 2769794601 Enrollment ID: I20210114002477 |
| Provider Name | Zeshan Ahmed Chaudhry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992052005 PECOS PAC ID: 7113332941 Enrollment ID: I20210209000504 |
| Provider Name | Sarah Kantharia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881039253 PECOS PAC ID: 6406192574 Enrollment ID: I20210429002042 |
| Provider Name | Ahmad Jallad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760997050 PECOS PAC ID: 9931508132 Enrollment ID: I20210520000382 |
| Provider Name | Clifford Voigt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497983548 PECOS PAC ID: 2961746599 Enrollment ID: I20210604001319 |
| Provider Name | Jessica Kurzdorfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538782826 PECOS PAC ID: 9830500529 Enrollment ID: I20210812002287 |
| Provider Name | Ishaq Q Ibrahim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871975003 PECOS PAC ID: 5496062556 Enrollment ID: I20210917000667 |
| Provider Name | Arvinderpaul Sarai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811957418 PECOS PAC ID: 7911943774 Enrollment ID: I20210924002154 |
| Provider Name | Amit Lloyd Ramjit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881987113 PECOS PAC ID: 0042440265 Enrollment ID: I20210929001966 |
| Provider Name | Aden Malik |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093156382 PECOS PAC ID: 1759605652 Enrollment ID: I20211011000809 |
| Provider Name | Emily Wild |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881074664 PECOS PAC ID: 9032507215 Enrollment ID: I20211020000997 |
| Provider Name | Sonalika Agarwal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366889131 PECOS PAC ID: 3678811379 Enrollment ID: I20220321001188 |
| Provider Name | Felicia O Mckoy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568990687 PECOS PAC ID: 7911233796 Enrollment ID: I20220623000781 |
| Provider Name | Shiv G Raj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386062867 PECOS PAC ID: 1557605409 Enrollment ID: I20220912002183 |
| Provider Name | Samer Abujaber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497137558 PECOS PAC ID: 7719267806 Enrollment ID: I20221007000075 |
| Provider Name | Stewart Gilbert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487636445 PECOS PAC ID: 7012981285 Enrollment ID: I20221027001506 |
| Provider Name | Jehanzeb Khan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164445417 PECOS PAC ID: 0244330025 Enrollment ID: I20221118000397 |
| Provider Name | Lawrence Andrew L Chan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487003448 PECOS PAC ID: 2163718156 Enrollment ID: I20221213003062 |
| Provider Name | Sushil K Ahlawat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760568455 PECOS PAC ID: 5991805756 Enrollment ID: I20230106001982 |
| Provider Name | Ashish Rai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184004012 PECOS PAC ID: 4486961562 Enrollment ID: I20230121000197 |
| Provider Name | Christopher A Kelley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831534395 PECOS PAC ID: 3971822081 Enrollment ID: I20230201002146 |
| Provider Name | Arsalan Talib Hashmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861843021 PECOS PAC ID: 6305190240 Enrollment ID: I20230718001148 |
| Provider Name | Chinyere Kelechi Agu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821580101 PECOS PAC ID: 7315308871 Enrollment ID: I20230731002440 |
| Provider Name | Muhammad Azhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134654387 PECOS PAC ID: 8426329913 Enrollment ID: I20230823002013 |
| Provider Name | Anne Elizabeth Levine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295265767 PECOS PAC ID: 6002185956 Enrollment ID: I20231025002933 |
| Provider Name | Jodan Pathinathan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1780112896 PECOS PAC ID: 2668897216 Enrollment ID: I20231030001072 |
| Provider Name | Andrea Roche Recinos |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1144518861 PECOS PAC ID: 5890080485 Enrollment ID: I20231101000280 |
| Provider Name | Gyula Michael Petranyi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447703152 PECOS PAC ID: 8527397397 Enrollment ID: I20231101001141 |
| Provider Name | Vinicius Ladeira Craveiro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669909032 PECOS PAC ID: 1658755509 Enrollment ID: I20231127001298 |
| Provider Name | Zhonghua Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417247750 PECOS PAC ID: 4082062377 Enrollment ID: I20231127003372 |
| Provider Name | Julie Huang |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1669821005 PECOS PAC ID: 3577947597 Enrollment ID: I20240118000372 |
| Provider Name | Mya Mya Aye |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245646058 PECOS PAC ID: 5294179610 Enrollment ID: I20240213004557 |
| Provider Name | Ibrahim A Mohamed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295393544 PECOS PAC ID: 0840632964 Enrollment ID: I20240521002689 |
| Provider Name | Hua-fang Lin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043743115 PECOS PAC ID: 5698045698 Enrollment ID: I20240621000425 |
| Provider Name | Xiaoyang Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629571419 PECOS PAC ID: 1153865373 Enrollment ID: I20240628002307 |
| Provider Name | Laurenie G Louissaint |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891255279 PECOS PAC ID: 3678014768 Enrollment ID: I20240917000465 |
| Provider Name | Rosa Park |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245951730 PECOS PAC ID: 5193258283 Enrollment ID: I20241028003423 |
| Provider Name | Ji Hyun Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063730265 PECOS PAC ID: 9133455017 Enrollment ID: I20241031003516 |
| Provider Name | Rick Schneider |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891255006 PECOS PAC ID: 2769711993 Enrollment ID: I20241217003138 |
| Provider Name | Clivia M Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154787331 PECOS PAC ID: 1355878083 Enrollment ID: I20241219001962 |
| Provider Name | Michael Lamar Covington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871056655 PECOS PAC ID: 0143748863 Enrollment ID: I20250516001464 |
American Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 Rockaway Ave, Brooklyn, NY 11212 Phone: 718-346-2628 Fax: 718-346-9381 | |
Refua Shlema Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 499 Crown St, Brooklyn, NY 11213 Phone: 347-614-1717 | |
University Physicians Of Brooklyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Clarkson Ave, Suite A, Brooklyn, NY 11203 Phone: 718-270-1112 Fax: 718-270-3170 | |
Sikder Medical Care P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 504 Mcdonald Ave, Brooklyn, NY 11218 Phone: 917-442-1797 Fax: 718-732-0783 | |
Flatbush Medical Plaza, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1468 Flatbush Ave., Brooklyn, NY 11210 Phone: 917-966-2700 Fax: 917-966-2703 | |
Rds Medical P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7510 4th Ave, Ste 5, Brooklyn, NY 11209 Phone: 718-836-0761 Fax: 718-836-7369 | |
Brooks Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5014 Beverley Rd, Brooklyn, NY 11203 Phone: 718-241-0182 Fax: 718-451-2517 |