| Ilya Yurevich Kozlov, MD | |
|
1650 Grand Concourse, Bronx, NY 10457-7606 | |
| (718) 239-8383 | |
| (718) 239-8360 |
| Full Name | Ilya Yurevich Kozlov |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1650 Grand Concourse, Bronx, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851322275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 230644 (New York) | Primary |
| Entity Name | Montefiore Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
| Entity Name | Bronxcare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245390855 PECOS PAC ID: 3870404429 Enrollment ID: O20040526001082 |
| Entity Name | Jamaica Anesthesiologist Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508812892 PECOS PAC ID: 1355323460 Enrollment ID: O20040602001672 |
| Entity Name | Seo Jin Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851729636 PECOS PAC ID: 4688898125 Enrollment ID: O20140624000939 |
| Mailing Address | Practice Location Address |
|---|---|
| Ilya Yurevich Kozlov, MD 1650 Grand Concourse, 5th Fl Admin - Dept Of Obgyn, Bronx, NY 10457-7606 Ph: (718) 239-8383 | Ilya Yurevich Kozlov, MD 1650 Grand Concourse, Bronx, NY 10457-7606 Ph: (718) 239-8383 |
Shivaditya Choudhury, Anesthesiology Medicare: Medicare Enrolled Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 718-920-4321 | |
Dr. Philipp Johann Fassbender, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 718-920-4316 | |
Dr. Raymond Hinson, M. D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 East 210 Street, Mmc Anesthesiology, Bronx, NY 10467 Phone: 718-920-4316 Fax: 718-881-2245 | |
Michael Craig Steng, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 111 E 210th St, Anesthesiology, Bronx, NY 10467 Phone: 718-904-2872 | |
Dr. David J Aguilar, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 234 E 149th Street, Lincoln Medical & Mental Health Hospital, Bronx, NY 10451 Phone: 718-579-6000 Fax: 718-579-5027 | |
Olga Zimlin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Mmc - Dept. Of Anesthesiology, 111 East 210th Street, Bronx, NY 10467 Phone: 718-920-4316 | |
Dr. Gregory Girshin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Lincoln Medical And Mental Health Center, 234 E 149 Street, Bronx, NY 10451 Phone: 718-579-5717 Fax: 212-939-2759 |