| New York Comprehensive Neurology Pc | |
|
55 Greene Ave Brooklyn NY 11238-6406 | |
| (646) 641-8292 | |
| Not Available |
| Full Name | New York Comprehensive Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 55 Greene Ave, Brooklyn, New York |
| Authorized Official Name and Position | Dmitry Shmerkovich (OWNER) |
| Authorized Official Contact | 6466418292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New York Comprehensive Neurology Pc 2711 Avenue X Apt 3e Brooklyn NY 11235-2028 Ph: (646) 641-8292 | New York Comprehensive Neurology Pc 55 Greene Ave Brooklyn NY 11238-6406 Ph: (646) 641-8292 |
| NPI Number | 1487087201 |
|---|---|
| Provider Enumeration Date | 08/15/2013 |
| Last Update Date | 03/20/2015 |
| Medicare PECOS PAC ID | 4082841648 |
|---|---|
| Medicare Enrollment ID | O20131206000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487087201 | NPI | - | NPPES |
| 258729 | Other | NY | LISCENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 258729 (New York) | Primary |
| Provider Name | Dmitry V Shmerkovich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043486285 PECOS PAC ID: 1254503709 Enrollment ID: I20111006000136 |
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