| Ap Integrated Medical Care Pc | |
|
86 East 49th Street, Katz Building, Room 312 Brooklyn NY 11203 | |
| (718) 604-5037 | |
| (718) 363-6630 |
| Full Name | Ap Integrated Medical Care Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 86 East 49th Street,, Brooklyn, New York |
| Authorized Official Name and Position | Aaron M Pinkhasov (PRESIDENT) |
| Authorized Official Contact | 7186045037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ap Integrated Medical Care Pc 40 Sunset Rd S Albertson NY 11507-1149 Ph: (718) 604-5037 | Ap Integrated Medical Care Pc 86 East 49th Street, Katz Building, Room 312 Brooklyn NY 11203 Ph: (718) 604-5037 |
| NPI Number | 1316019219 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 07/14/2010 |
| Medicare PECOS PAC ID | 1850370487 |
|---|---|
| Medicare Enrollment ID | O20040716001140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316019219 | NPI | - | NPPES |
| 02107202 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 225772 (New York) | Primary |
| Provider Name | Vadim Y Korol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417033812 PECOS PAC ID: 8022114230 Enrollment ID: I20070504000318 |
| Provider Name | Majid Samad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720040280 PECOS PAC ID: 1759446958 Enrollment ID: I20090224000062 |
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