| Upper East Side Medical Pc | |
|
105 Oceana Dr E 5i Brooklyn NY 11235-6681 | |
| (917) 974-3001 | |
| Not Available |
| Full Name | Upper East Side Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 105 Oceana Dr E, Brooklyn, New York |
| Authorized Official Name and Position | Igor Kletsman (PRESIDENT) |
| Authorized Official Contact | 9179743001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper East Side Medical Pc 105 Oceana Dr E 5i Brooklyn NY 11235-6681 Ph: () - | Upper East Side Medical Pc 105 Oceana Dr E 5i Brooklyn NY 11235-6681 Ph: (917) 974-3001 |
| NPI Number | 1831323872 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 05/05/2009 |
| Medicare PECOS PAC ID | 9537211883 |
|---|---|
| Medicare Enrollment ID | O20090716000516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831323872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Igor Kletsman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447297858 PECOS PAC ID: 9234162504 Enrollment ID: I20050916000305 |
| Provider Name | Yelena Lyutershteyn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083659668 PECOS PAC ID: 6406947134 Enrollment ID: I20070809000132 |
| Provider Name | Satyanarayana M Abkari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932281870 PECOS PAC ID: 0547283707 Enrollment ID: I20071018000064 |
| Provider Name | Alexander B Chervinsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013971704 PECOS PAC ID: 6507934155 Enrollment ID: I20081009000001 |
| Provider Name | Elina Grinberg |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417188202 PECOS PAC ID: 3577603166 Enrollment ID: I20091211000389 |
| Provider Name | Sofya Kostanyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578726337 PECOS PAC ID: 1951586684 Enrollment ID: I20110425000016 |
| Provider Name | Anna Kogan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326208166 PECOS PAC ID: 7810155975 Enrollment ID: I20120221000114 |
| Provider Name | Anna Fleisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720563638 PECOS PAC ID: 1759635360 Enrollment ID: I20181119001206 |
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