| Mmc Division Of Neurology Fpp | |
|
883 65th Street Brooklyn NY 11220 | |
| (718) 283-7470 | |
| (718) 635-6082 |
| Full Name | Mmc Division Of Neurology Fpp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 883 65th Street, Brooklyn, New York |
| Authorized Official Name and Position | Marshall Keilson (DIRECTOR OF NEUROLOGY) |
| Authorized Official Contact | 7182835858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmc Division Of Neurology Fpp 883 65th Street Brooklyn NY 11220 Ph: (718) 283-7470 | Mmc Division Of Neurology Fpp 883 65th Street Brooklyn NY 11220 Ph: (718) 283-7470 |
| NPI Number | 1497838114 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/20/2008 |
| Medicare PECOS PAC ID | 6103880794 |
|---|---|
| Medicare Enrollment ID | O20041113000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497838114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Marshall Keilson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528068954 PECOS PAC ID: 0244219533 Enrollment ID: I20040719001588 |
| Provider Name | Robyn J Wolintz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497760888 PECOS PAC ID: 4880658327 Enrollment ID: I20041115001201 |
| Provider Name | Katherine Alexandra Mortati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740257393 PECOS PAC ID: 9234167933 Enrollment ID: I20050803000435 |
| Provider Name | Arthur Grant |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649382961 PECOS PAC ID: 7517989361 Enrollment ID: I20051221000542 |
| Provider Name | Ewa Koziorynska |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710997614 PECOS PAC ID: 3173522075 Enrollment ID: I20061202000185 |
| Provider Name | Steven Allen Sparr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023193349 PECOS PAC ID: 5294821062 Enrollment ID: I20071010000397 |
| Provider Name | Sina Khasani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790704948 PECOS PAC ID: 4880621911 Enrollment ID: I20080822000132 |
| Provider Name | Eduard A Rozner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841592391 PECOS PAC ID: 3678743465 Enrollment ID: I20110906000247 |
| Provider Name | Jonathan Perk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275790842 PECOS PAC ID: 5597905711 Enrollment ID: I20130712000001 |
| Provider Name | Anne M Ocello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164773156 PECOS PAC ID: 8921239047 Enrollment ID: I20140402001373 |
| Provider Name | Harini Sarva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174784870 PECOS PAC ID: 0840513388 Enrollment ID: I20150108000641 |
| Provider Name | Sara J Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821424334 PECOS PAC ID: 1759606197 Enrollment ID: I20150206000823 |
| Provider Name | Nuri J Jacoby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275769747 PECOS PAC ID: 9234458647 Enrollment ID: I20150507000083 |
| Provider Name | Neel S Dixit |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063738805 PECOS PAC ID: 3577879709 Enrollment ID: I20150902000598 |
| Provider Name | Steven J Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306160031 PECOS PAC ID: 1254649353 Enrollment ID: I20151008001699 |
| Provider Name | Ilena C George |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619312972 PECOS PAC ID: 0547577835 Enrollment ID: I20180321002259 |
| Provider Name | Simona O. Treidler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376888008 PECOS PAC ID: 5890041636 Enrollment ID: I20180709001984 |
| Provider Name | Daphne Robakis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396075255 PECOS PAC ID: 7214168582 Enrollment ID: I20180907001523 |
| Provider Name | Ainie Soetanto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942640644 PECOS PAC ID: 3274883590 Enrollment ID: I20180907001730 |
| Provider Name | Benjamin Scott Cunningham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609214626 PECOS PAC ID: 8527337658 Enrollment ID: I20180919002429 |
| Provider Name | Hwai Yin Yin Ooi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912342379 PECOS PAC ID: 0749525301 Enrollment ID: I20190819000426 |
| Provider Name | Grigoriy Gutin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992124416 PECOS PAC ID: 7618215286 Enrollment ID: I20191030002166 |
| Provider Name | Bonnie Wong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033523717 PECOS PAC ID: 3577809227 Enrollment ID: I20201027000168 |
| Provider Name | Elizabeth Chernyak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750744801 PECOS PAC ID: 0941604433 Enrollment ID: I20210805001064 |
| Provider Name | Christian Amlang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992258057 PECOS PAC ID: 0840564340 Enrollment ID: I20210817003469 |
| Provider Name | Susanna O'kula |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104211432 PECOS PAC ID: 4486051489 Enrollment ID: I20210917000970 |
| Provider Name | Daniel Addess |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548615164 PECOS PAC ID: 0042606899 Enrollment ID: I20220405001027 |
| Provider Name | Shashank Agarwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255885554 PECOS PAC ID: 6901143023 Enrollment ID: I20221117002512 |
| Provider Name | Murray Choueka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659875854 PECOS PAC ID: 8820335979 Enrollment ID: I20230428000732 |
| Provider Name | Jamie E Nichols |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831626522 PECOS PAC ID: 8628314093 Enrollment ID: I20240221000636 |
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