Vitaliy Gavrylyuk, NP | |
3209 Coney Island Ave, Brooklyn, NY 11235-7072 | |
(718) 265-0005 | |
Not Available |
Full Name | Vitaliy Gavrylyuk |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 3209 Coney Island Ave, Brooklyn, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639635790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 309058 (New York) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 309058 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Maimonides Medical Center | Brooklyn, NY | Hospital |
New York University Langone Medical Center | New york, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medex Diagnostic And Treatment Center Llc | 1456336445 | 21 |
Entity Name | Maimonides Faculty Practice Plan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597 |
Entity Name | Medex Diagnostic And Treatment Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629001102 PECOS PAC ID: 1456336445 Enrollment ID: O20040623000574 |
Entity Name | Maimonides Cardiology Fpp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477803385 PECOS PAC ID: 4688814809 Enrollment ID: O20130712000000 |
Mailing Address | Practice Location Address |
---|---|
Vitaliy Gavrylyuk, NP 1516 Hewlett Heath Rd, Hewlett, NY 11557-1703 Ph: () - | Vitaliy Gavrylyuk, NP 3209 Coney Island Ave, Brooklyn, NY 11235-7072 Ph: (718) 265-0005 |
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