| Yan Lupyan, Vladimir Zlatnik | |
|
7620 Bay Pkwy Ste 1a Brooklyn NY 11214-1516 | |
| (718) 232-1022 | |
| (718) 232-1014 |
| Full Name | Yan Lupyan, Vladimir Zlatnik |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7620 Bay Pkwy Ste 1a, Brooklyn, New York |
| Authorized Official Name and Position | Yan Lupyan (OWNER) |
| Authorized Official Contact | 7182321022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yan Lupyan, Vladimir Zlatnik 7620 Bay Pkwy Ste 1a Brooklyn NY 11214-1516 Ph: (718) 232-1022 | Yan Lupyan, Vladimir Zlatnik 7620 Bay Pkwy Ste 1a Brooklyn NY 11214-1516 Ph: (718) 232-1022 |
| NPI Number | 1336185313 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 10/18/2011 |
| Medicare PECOS PAC ID | 9638060452 |
|---|---|
| Medicare Enrollment ID | O20040407000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336185313 | NPI | - | NPPES |
| 1336185313 | Other | NY | NPI 1336185313 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 196730 (New York) | Primary |
| Provider Name | Yan Lupyan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841220829 PECOS PAC ID: 7719970532 Enrollment ID: I20040422001471 |
| Provider Name | Vladimir Zlatnik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861422859 PECOS PAC ID: 5092708818 Enrollment ID: I20040422001669 |
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