A Friendly Face Akademy Corp. | |
1887 Richmond Ave Ste 5 Staten Island NY 10314-3923 | |
(718) 698-1300 | |
(917) 677-8601 |
Full Name | A Friendly Face Akademy Corp. |
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Speciality | Clinic/Center |
Location | 1887 Richmond Ave Ste 5, Staten Island, New York |
Authorized Official Name and Position | Ella Goldin (CFO) |
Authorized Official Contact | 7186981300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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A Friendly Face Akademy Corp. 1887 Richmond Ave Ste 5 Staten Island NY 10314-3923 Ph: (718) 698-1300 | A Friendly Face Akademy Corp. 1887 Richmond Ave Ste 5 Staten Island NY 10314-3923 Ph: (718) 698-1300 |
NPI Number | 1275025348 |
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Provider Enumeration Date | 06/04/2018 |
Last Update Date | 06/14/2023 |
Medicare PECOS PAC ID | 3779927553 |
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Medicare Enrollment ID | O20240220003584 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275025348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Leonid Goldin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770631186 PECOS PAC ID: 1951359736 Enrollment ID: I20050107000845 |
Provider Name | Edward Kleiman |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1306073291 PECOS PAC ID: 7810211992 Enrollment ID: I20150120001601 |
Provider Name | Vincenza E Mineo |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1487947537 PECOS PAC ID: 2062684863 Enrollment ID: I20170420000640 |
Provider Name | Natallia Kleshchanka |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942780390 PECOS PAC ID: 5799026738 Enrollment ID: I20190401001612 |
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