| Srb Medical Pllc | |
|
1875 Kirkwood Ave Merrick NY 11566-4303 | |
| (347) 804-7028 | |
| Not Available |
| Full Name | Srb Medical Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1875 Kirkwood Ave, Merrick, New York |
| Authorized Official Name and Position | Reuben Burshtein (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3478047028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Srb Medical Pllc 1875 Kirkwood Ave Merrick NY 11566-4303 Ph: () - | Srb Medical Pllc 1875 Kirkwood Ave Merrick NY 11566-4303 Ph: (347) 804-7028 |
| NPI Number | 1912631417 |
|---|---|
| Provider Enumeration Date | 07/12/2022 |
| Last Update Date | 07/12/2022 |
| Certification Date | 07/12/2022 |
| Medicare PECOS PAC ID | 4880076207 |
|---|---|
| Medicare Enrollment ID | O20220802002343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912631417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Reuben David Burshtein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033458526 PECOS PAC ID: 4183919558 Enrollment ID: I20160824001115 |
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