| All Borough Medical Solution Pc | |
|
2126 Broadway Long Island City NY 11106-4533 | |
| (718) 932-1700 | |
| (718) 621-1884 |
| Full Name | All Borough Medical Solution Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2126 Broadway, Long Island City, New York |
| Authorized Official Name and Position | Sergio Sokol (PRESIDENT) |
| Authorized Official Contact | 9177418599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All Borough Medical Solution Pc 35 Thixton Dr Hewlett NY 11557-2631 Ph: (917) 741-8599 | All Borough Medical Solution Pc 2126 Broadway Long Island City NY 11106-4533 Ph: (718) 932-1700 |
| NPI Number | 1558690743 |
|---|---|
| Provider Enumeration Date | 12/17/2009 |
| Last Update Date | 08/21/2020 |
| Medicare PECOS PAC ID | 2365574225 |
|---|---|
| Medicare Enrollment ID | O20100713000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558690743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 205875 (New York) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| Provider Name | Clifford Beinart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396701678 PECOS PAC ID: 9830187277 Enrollment ID: I20040504000820 |
| Provider Name | Sergio Sokol |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356398713 PECOS PAC ID: 0042293714 Enrollment ID: I20040611001375 |
| Provider Name | Catherine M Nozdrovicky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265580625 PECOS PAC ID: 6406858547 Enrollment ID: I20070202000274 |
| Provider Name | Evelyn Uwakwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578816344 PECOS PAC ID: 5395058994 Enrollment ID: I20150724010532 |
| Provider Name | Shiny Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235586892 PECOS PAC ID: 1355638495 Enrollment ID: I20160917000163 |
| Provider Name | Shellene Dietrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073850665 PECOS PAC ID: 7416244652 Enrollment ID: I20161003000598 |
| Provider Name | Mandip Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013496793 PECOS PAC ID: 5496006850 Enrollment ID: I20180924002641 |
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