Igor Brichkov, MD | |
264 Greencroft Ave, Staten Island, NY 10308-3247 | |
(646) 342-0379 | |
Not Available |
Full Name | Igor Brichkov |
---|---|
Gender | Male |
Speciality | Thoracic Surgery |
Experience | 22 Years |
Location | 264 Greencroft Ave, Staten Island, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710162193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 245236 (New York) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 25MA09854200 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Maimonides Medical Center | Brooklyn, NY | Hospital |
Centrastate Medical Center | Freehold, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mmc Division Of General Thoracic Surgery F P P | 1153420617 | 4 |
Practice Associates Medical Group | 5890703177 | 1174 |
Entity Name | Mmc Division Of General Thoracic Surgery F P P |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508969494 PECOS PAC ID: 1153420617 Enrollment ID: O20070625000084 |
Mailing Address | Practice Location Address |
---|---|
Igor Brichkov, MD 264 Greencroft Ave, Staten Island, NY 10308-3247 Ph: (646) 342-0379 | Igor Brichkov, MD 264 Greencroft Ave, Staten Island, NY 10308-3247 Ph: (646) 342-0379 |
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