| Air Atlantic Medical Pc | |
|
115 Brightwater Ct Ste 1g Brooklyn NY 11235-7629 | |
| (718) 975-7690 | |
| Not Available |
| Full Name | Air Atlantic Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 115 Brightwater Ct Ste 1g, Brooklyn, New York |
| Authorized Official Name and Position | Alexander Kantor (MANAGER) |
| Authorized Official Contact | 7189757690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Air Atlantic Medical Pc 115 Brightwater Ct Ste 1g Brooklyn NY 11235-7629 Ph: (718) 975-7690 | Air Atlantic Medical Pc 115 Brightwater Ct Ste 1g Brooklyn NY 11235-7629 Ph: (718) 975-7690 |
| NPI Number | 1427506518 |
|---|---|
| Provider Enumeration Date | 09/17/2016 |
| Last Update Date | 11/15/2016 |
| Medicare PECOS PAC ID | 7517247265 |
|---|---|
| Medicare Enrollment ID | O20161215000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427506518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Robert D. Solomon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720050040 PECOS PAC ID: 5890780209 Enrollment ID: I20040415001272 |
| Provider Name | German Laufer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952526816 PECOS PAC ID: 3476643958 Enrollment ID: I20071220000485 |
| Provider Name | Alexander Ivanov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790825222 PECOS PAC ID: 2062686371 Enrollment ID: I20120130000061 |
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