21st Avenue Medical Plaza Pc | |
2101 E 16th St Brooklyn NY 11229-4401 | |
(718) 266-9779 | |
(718) 645-6600 |
Full Name | 21st Avenue Medical Plaza Pc |
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Speciality | Family Medicine |
Location | 2101 E 16th St, Brooklyn, New York |
Authorized Official Name and Position | Samira Ovshaev (PHYSICIAN) |
Authorized Official Contact | 7182669779 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
21st Avenue Medical Plaza Pc 2101 E 16th St Brooklyn NY 11229-4401 Ph: (718) 266-9779 | 21st Avenue Medical Plaza Pc 2101 E 16th St Brooklyn NY 11229-4401 Ph: (718) 266-9779 |
NPI Number | 1134256761 |
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Provider Enumeration Date | 02/28/2007 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134256761 | NPI | - | NPPES |
1681P2 | Other | NY | EMPIRE BCBS |
219865 | Other | NY | LICENSE |
02263427 | Medicaid | NY |
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