| Downstate Health Physicians | |
|
450 Clarkson Ave Brooklyn NY 11203-2056 | |
| (718) 270-2430 | |
| (718) 270-3840 |
| Full Name | Downstate Health Physicians |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 450 Clarkson Ave, Brooklyn, New York |
| Authorized Official Name and Position | Albert Guidice (ENROLLMENT MANAGER) |
| Authorized Official Contact | 7186138481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Downstate Health Physicians 450 Clarkson Ave Msc#80 Brooklyn NY 11203-2056 Ph: (718) 613-8481 | Downstate Health Physicians 450 Clarkson Ave Brooklyn NY 11203-2056 Ph: (718) 270-2430 |
| NPI Number | 1477500916 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 05/28/2024 |
| Certification Date | 05/28/2024 |
| Medicare PECOS PAC ID | 0749192284 |
|---|---|
| Medicare Enrollment ID | O20040213000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477500916 | NPI | - | NPPES |
| 02339586 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Ivan Bodis-wollner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821083437 PECOS PAC ID: 4981597937 Enrollment ID: I20040204000635 |
| Provider Name | Steven Pavlakis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073508198 PECOS PAC ID: 8123015047 Enrollment ID: I20040430000425 |
| Provider Name | Satyakam Bhagavati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467430389 PECOS PAC ID: 8325082431 Enrollment ID: I20050618000176 |
| 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 | Alexandra Reznikov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568421345 PECOS PAC ID: 2961412655 Enrollment ID: I20060425000773 |
| Provider Name | Ewa Koziorynska |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710997614 PECOS PAC ID: 3173522075 Enrollment ID: I20061202000185 |
| Provider Name | Daniel M Rosenbaum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194802579 PECOS PAC ID: 1456458553 Enrollment ID: I20070524000610 |
| Provider Name | Yaacov Anziska |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821161258 PECOS PAC ID: 4688762198 Enrollment ID: I20071116000534 |
| Provider Name | Steven R Levine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407827546 PECOS PAC ID: 8224108204 Enrollment ID: I20080603000196 |
| Provider Name | Alison E Baird |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710009725 PECOS PAC ID: 4587721725 Enrollment ID: I20090316000256 |
| Provider Name | Luba Nakhutina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346475878 PECOS PAC ID: 5890840680 Enrollment ID: I20090831000373 |
| Provider Name | Adrian Marchidann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790935294 PECOS PAC ID: 5698807840 Enrollment ID: I20100723000186 |
| Provider Name | Howard A Crystal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689660904 PECOS PAC ID: 0345364386 Enrollment ID: I20100827000902 |
| Provider Name | Geetha Chari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912992538 PECOS PAC ID: 1557555158 Enrollment ID: I20101027001195 |
| Provider Name | Nikolaos Ih Papamitsakis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467452797 PECOS PAC ID: 1658396387 Enrollment ID: I20101207000960 |
| Provider Name | Brian J Anziska |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043205339 PECOS PAC ID: 1951586767 Enrollment ID: I20110420000770 |
| Provider Name | Jonathan Perk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275790842 PECOS PAC ID: 5597905711 Enrollment ID: I20130712000001 |
| Provider Name | Jose Cabassa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760526164 PECOS PAC ID: 1355583097 Enrollment ID: I20130809000245 |
| Provider Name | Noa D Sheikin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467687574 PECOS PAC ID: 7315180163 Enrollment ID: I20141030000593 |
| Provider Name | Yoshimi Hisamoto |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1639411226 PECOS PAC ID: 2769733989 Enrollment ID: I20190516002566 |
| Provider Name | Bonnie Wong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033523717 PECOS PAC ID: 3577809227 Enrollment ID: I20201027000168 |
| Provider Name | Susanna O'kula |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104211432 PECOS PAC ID: 4486051489 Enrollment ID: I20210917000970 |
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