| Anthony Bertelle M.d. P.c. | |
|
7515 13th Ave Brooklyn NY 11228-2409 | |
| (718) 234-8111 | |
| (718) 234-5379 |
| Full Name | Anthony Bertelle M.d. P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7515 13th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Anthony Bertelle (M.D) |
| Authorized Official Contact | 7182348111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Bertelle M.d. P.c. 7515 13th Ave Brooklyn NY 11228-2409 Ph: (718) 234-8111 | Anthony Bertelle M.d. P.c. 7515 13th Ave Brooklyn NY 11228-2409 Ph: (718) 234-8111 |
| NPI Number | 1891039426 |
|---|---|
| Provider Enumeration Date | 11/20/2012 |
| Last Update Date | 11/26/2012 |
| Medicare PECOS PAC ID | 8628218419 |
|---|---|
| Medicare Enrollment ID | O20130627000473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891039426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Anthony Bertelle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598874281 PECOS PAC ID: 8527016971 Enrollment ID: I20050112000330 |
| Provider Name | Lorraine Bertelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932356581 PECOS PAC ID: 9638210800 Enrollment ID: I20100109000438 |
| Provider Name | Jacquelyn S Lahoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801114624 PECOS PAC ID: 3779803085 Enrollment ID: I20150909000108 |
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