| Greater Ny Neurology Pc | |
|
8686 Bay Pkwy Suite 1m-2m Brooklyn NY 11214-5602 | |
| (718) 544-4200 | |
| (718) 544-4201 |
| Full Name | Greater Ny Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8686 Bay Pkwy, Brooklyn, New York |
| Authorized Official Name and Position | Ellen Edgar (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7185444200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Ny Neurology Pc 1311 Brightwater Ave Ste 18ij Brooklyn NY 11235-5962 Ph: (718) 544-4200 | Greater Ny Neurology Pc 8686 Bay Pkwy Suite 1m-2m Brooklyn NY 11214-5602 Ph: (718) 544-4200 |
| NPI Number | 1073947156 |
|---|---|
| Provider Enumeration Date | 08/26/2013 |
| Last Update Date | 03/19/2014 |
| Medicare PECOS PAC ID | 2567692916 |
|---|---|
| Medicare Enrollment ID | O20140304000515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073947156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Eric J Rosenbaum |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467485268 PECOS PAC ID: 2466493978 Enrollment ID: I20050516000184 |
| Provider Name | Gautami K Rao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083795264 PECOS PAC ID: 5890884084 Enrollment ID: I20071211000669 |
| Provider Name | Samuel Apeatu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013939545 PECOS PAC ID: 5991886491 Enrollment ID: I20080122000426 |
| Provider Name | Ellen I Edgar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326343625 PECOS PAC ID: 4486838885 Enrollment ID: I20110408000585 |
| Provider Name | Maja Ilic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255652863 PECOS PAC ID: 8820250335 Enrollment ID: I20120430000341 |
| Provider Name | Clair Cascella |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962777169 PECOS PAC ID: 3375709306 Enrollment ID: I20120719000333 |
| Provider Name | Kishan A Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346473071 PECOS PAC ID: 6608003157 Enrollment ID: I20131209001242 |
| Provider Name | Michael Jurkowich |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184868531 PECOS PAC ID: 5395972541 Enrollment ID: I20150120001426 |
| Provider Name | Vesna M Micic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811121502 PECOS PAC ID: 6002940400 Enrollment ID: I20160517001434 |
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