| Interfaith Psychiatry Services, P.c. | |
|
1545 Atlantic Avenue Faculty Practice Brooklyn NY 11213-1122 | |
| (718) 240-8352 | |
| Not Available |
| Full Name | Interfaith Psychiatry Services, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1545 Atlantic Avenue, Brooklyn, New York |
| Authorized Official Name and Position | Jason Hershberger (CHAIRMAN / P.C. PRESIDENT) |
| Authorized Official Contact | 7186134969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interfaith Psychiatry Services, P.c. 1545 Atlantic Avenue Faculty Practice Brooklyn NY 11238 Ph: (718) 613-4708 | Interfaith Psychiatry Services, P.c. 1545 Atlantic Avenue Faculty Practice Brooklyn NY 11213-1122 Ph: (718) 240-8352 |
| NPI Number | 1487958559 |
|---|---|
| Provider Enumeration Date | 01/05/2011 |
| Last Update Date | 08/12/2024 |
| Certification Date | 02/13/2020 |
| Medicare PECOS PAC ID | 0244409613 |
|---|---|
| Medicare Enrollment ID | O20110802000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487958559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Rosemarie R Rigunay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962443689 PECOS PAC ID: 5799771366 Enrollment ID: I20040421000616 |
| Provider Name | Yevgeniy Khaldarov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710932926 PECOS PAC ID: 3476530734 Enrollment ID: I20040702001295 |
| Provider Name | Sahar S Abzakh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477590743 PECOS PAC ID: 5193704492 Enrollment ID: I20040720000040 |
| Provider Name | Mario Gustave |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003103557 PECOS PAC ID: 1951361690 Enrollment ID: I20041016000007 |
| Provider Name | Vivian G Mihailescu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326013681 PECOS PAC ID: 4284697970 Enrollment ID: I20041104000160 |
| Provider Name | Louis R Belzie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861438681 PECOS PAC ID: 4789647835 Enrollment ID: I20041109000945 |
| Provider Name | Joseph F Ewa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285808105 PECOS PAC ID: 8022076926 Enrollment ID: I20041223000047 |
| Provider Name | Jason E Hershberger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598712283 PECOS PAC ID: 9335197953 Enrollment ID: I20050110000877 |
| Provider Name | Seok Ahn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235215021 PECOS PAC ID: 7214980754 Enrollment ID: I20050224000815 |
| Provider Name | Patrick Plantin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609886746 PECOS PAC ID: 7911952288 Enrollment ID: I20050318000876 |
| Provider Name | Amal K Saha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003861220 PECOS PAC ID: 8325086556 Enrollment ID: I20050419001034 |
| Provider Name | Oleg Isakov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285738526 PECOS PAC ID: 6800814781 Enrollment ID: I20051109000560 |
| Provider Name | Carmin Appolon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124052394 PECOS PAC ID: 9739108192 Enrollment ID: I20051115000346 |
| Provider Name | Dindial Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548288616 PECOS PAC ID: 0749202679 Enrollment ID: I20051220000665 |
| Provider Name | Parvathy K Vasudevan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235203654 PECOS PAC ID: 2567477904 Enrollment ID: I20060207000412 |
| Provider Name | Elisabeth M Lescouflair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043222060 PECOS PAC ID: 8022026178 Enrollment ID: I20060330000599 |
| Provider Name | Kang Y Yu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891734992 PECOS PAC ID: 9133126188 Enrollment ID: I20061103000476 |
| Provider Name | Richard Fred Storch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205991908 PECOS PAC ID: 8325142938 Enrollment ID: I20070409000154 |
| Provider Name | Miguel A Sanchez-almira |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922206945 PECOS PAC ID: 0941394126 Enrollment ID: I20070919000238 |
| Provider Name | Adela R Gerolemou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306059597 PECOS PAC ID: 3375631260 Enrollment ID: I20071109000399 |
| Provider Name | Joseph Bernadotte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770697286 PECOS PAC ID: 8729165402 Enrollment ID: I20080404000410 |
| Provider Name | Nisarul Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699853861 PECOS PAC ID: 2163509662 Enrollment ID: I20080408000775 |
| Provider Name | Fazlul Haque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831279751 PECOS PAC ID: 3678647229 Enrollment ID: I20080731000210 |
| Provider Name | Stephan Michael Carlson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275680068 PECOS PAC ID: 7810063476 Enrollment ID: I20080904000496 |
| Provider Name | Sanila Rehmatullah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831264555 PECOS PAC ID: 6305913112 Enrollment ID: I20080920000009 |
| Provider Name | Rhodora C Yap |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619043171 PECOS PAC ID: 5193863389 Enrollment ID: I20091109000323 |
| Provider Name | Stanley Safier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831132877 PECOS PAC ID: 4981744356 Enrollment ID: I20091215000485 |
| Provider Name | Shawkat Mustafa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720238637 PECOS PAC ID: 5092840504 Enrollment ID: I20100322000805 |
| Provider Name | Moddy H Kiluvia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922073261 PECOS PAC ID: 4486849411 Enrollment ID: I20101116000427 |
| Provider Name | Yohanan Preschel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457391856 PECOS PAC ID: 3274715339 Enrollment ID: I20110310000312 |
| Provider Name | Freddy Desormeaux |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639246929 PECOS PAC ID: 7416119409 Enrollment ID: I20120509000300 |
| Provider Name | Sidiki Dabo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790073476 PECOS PAC ID: 6800042888 Enrollment ID: I20120807000372 |
| Provider Name | Muhammad Z Islam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992907133 PECOS PAC ID: 8729235668 Enrollment ID: I20120828000302 |
| Provider Name | Khandaker A Taher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457619736 PECOS PAC ID: 4688826357 Enrollment ID: I20121203000193 |
| Provider Name | Carolina D Nisenoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649287103 PECOS PAC ID: 1557518867 Enrollment ID: I20130506000117 |
| Provider Name | Ayodeji I Jolayemi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235490178 PECOS PAC ID: 6901031772 Enrollment ID: I20140805000606 |
| Provider Name | Chawmay Aye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578811204 PECOS PAC ID: 9931415346 Enrollment ID: I20150831002546 |
| Provider Name | Luminita Sasaran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518098284 PECOS PAC ID: 3971802554 Enrollment ID: I20160503001910 |
| Provider Name | Nkiruka J Iloh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972851327 PECOS PAC ID: 7012207350 Enrollment ID: I20160527001430 |
| Provider Name | Sonea Mahboob |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790063402 PECOS PAC ID: 0244523645 Enrollment ID: I20160722000739 |
| Provider Name | Rana Tahir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417361668 PECOS PAC ID: 0547556565 Enrollment ID: I20160831000060 |
| Provider Name | Wil E Germain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720348592 PECOS PAC ID: 2668791963 Enrollment ID: I20161007000870 |
| Provider Name | Patrice A Fouron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881942217 PECOS PAC ID: 8426334301 Enrollment ID: I20170406002499 |
| Provider Name | Christianah Y Ogunlesi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063507358 PECOS PAC ID: 1850398447 Enrollment ID: I20170713002660 |
| Provider Name | Irina Kogan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316352271 PECOS PAC ID: 1052676392 Enrollment ID: I20180607001272 |
| Provider Name | Yaron Markfeld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962817940 PECOS PAC ID: 5092062141 Enrollment ID: I20180719002723 |
| Provider Name | Adeel Anwar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255717609 PECOS PAC ID: 1355684697 Enrollment ID: I20190530000146 |
| Provider Name | Jeffrey C Lawrence |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891241592 PECOS PAC ID: 5991117616 Enrollment ID: I20201221002427 |
| Provider Name | Shaheen Ara Alam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851659312 PECOS PAC ID: 8123448834 Enrollment ID: I20201223001880 |
| Provider Name | Seyed Siavash Mir Saeid Ghazi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689026007 PECOS PAC ID: 5597179283 Enrollment ID: I20210120001273 |
| Provider Name | Kathleen Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518108554 PECOS PAC ID: 8123437324 Enrollment ID: I20210428003104 |
| Provider Name | Shiraz A Azim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780108001 PECOS PAC ID: 5092110569 Enrollment ID: I20210820002006 |
| Provider Name | Iuliana Predescu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801209176 PECOS PAC ID: 8224389911 Enrollment ID: I20211008000735 |
| Provider Name | Chiedozie Obinna Ojimba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689198350 PECOS PAC ID: 6507255239 Enrollment ID: I20211117002797 |
| Provider Name | Xiao Xiong You |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790262467 PECOS PAC ID: 7911394366 Enrollment ID: I20220503002413 |
| Provider Name | Farzana H Chowdhury |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083125496 PECOS PAC ID: 2264810118 Enrollment ID: I20220604000027 |
| Provider Name | Win M Aye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528370061 PECOS PAC ID: 9931468576 Enrollment ID: I20230905003534 |
| Provider Name | Veronica N. Ibeneme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083147003 PECOS PAC ID: 5597129114 Enrollment ID: I20230915001249 |
| Provider Name | Peterson Rabel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417435009 PECOS PAC ID: 7012361421 Enrollment ID: I20231003002470 |
| Provider Name | Tolulope Olupona |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134386808 PECOS PAC ID: 6608213947 Enrollment ID: I20240322001453 |
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