Dmitriy Frenkel, AGNP | |
4802 10th Ave, Brooklyn, NY 11219-2916 | |
(718) 283-6000 | |
Not Available |
Full Name | Dmitriy Frenkel |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 4802 10th Ave, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174212914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 311181 (New York) | Primary |
Entity Name | Maimonides Faculty Practice Plan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597 |
Mailing Address | Practice Location Address |
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Dmitriy Frenkel, AGNP 2051 Mill Ave, Brooklyn, NY 11234-5921 Ph: (917) 250-1601 | Dmitriy Frenkel, AGNP 4802 10th Ave, Brooklyn, NY 11219-2916 Ph: (718) 283-6000 |
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