Mrs Lyudmila Mogilevskaya, | |
1877 E 12th St Apt 5a, Brooklyn, NY 11229-2718 | |
(347) 850-5400 | |
Not Available |
Full Name | Mrs Lyudmila Mogilevskaya |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1877 E 12th St Apt 5a, 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 |
---|---|---|---|
1487174546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | F305531-1 (New York) | Primary |
Entity Name | Shore Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578973368 PECOS PAC ID: 7810116761 Enrollment ID: O20140909000227 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lyudmila Mogilevskaya, 1877 E 12th St Apt 5a, Brooklyn, NY 11229-2718 Ph: (347) 850-5400 | Mrs Lyudmila Mogilevskaya, 1877 E 12th St Apt 5a, Brooklyn, NY 11229-2718 Ph: (347) 850-5400 |
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