| Yelena Vayntrub Medical Pc | |
|
391 Eastern Pkwy Brooklyn NY 11216-4153 | |
| (718) 613-1600 | |
| (718) 613-1666 |
| Full Name | Yelena Vayntrub Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 391 Eastern Pkwy, Brooklyn, New York |
| Authorized Official Name and Position | Yelena Vayntrub (PRESIDENT) |
| Authorized Official Contact | 7187577447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yelena Vayntrub Medical Pc 1231 78th St Brooklyn NY 11228-2717 Ph: (718) 757-7447 | Yelena Vayntrub Medical Pc 391 Eastern Pkwy Brooklyn NY 11216-4153 Ph: (718) 613-1600 |
| NPI Number | 1275604266 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 10/19/2007 |
| Medicare PECOS PAC ID | 1052413267 |
|---|---|
| Medicare Enrollment ID | O20070219000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275604266 | NPI | - | NPPES |
| 02109671 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 218887 (New York) | Primary |
| Provider Name | Yelena Vayntrub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588772214 PECOS PAC ID: 6608869375 Enrollment ID: I20040407000869 |
| Provider Name | Olga Slootsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437599792 PECOS PAC ID: 8426286709 Enrollment ID: I20140113000863 |
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