Avenue X Primary Medical Care P.c. | |
400 Avenue X Brooklyn NY 11223 | |
(718) 376-6500 | |
(718) 376-5078 |
Full Name | Avenue X Primary Medical Care P.c. |
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Speciality | Clinic/Center |
Location | 400 Avenue X, Brooklyn, New York |
Authorized Official Name and Position | Lev J. Paukman, M.d. (MEDICAL DIRECTOR) |
Authorized Official Contact | 7183766500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Avenue X Primary Medical Care P.c. 400 Avenue X Brooklyn NY 11223 Ph: (718) 376-6500 | Avenue X Primary Medical Care P.c. 400 Avenue X Brooklyn NY 11223 Ph: (718) 376-6500 |
NPI Number | 1053415661 |
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Provider Enumeration Date | 09/12/2006 |
Last Update Date | 08/01/2008 |
Medicare PECOS PAC ID | 1254433709 |
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Medicare Enrollment ID | O20070403000541 |
Identifier | Type | State | Issuer |
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1053415661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (New York) | Primary |
Provider Name | Rimma Shnaydman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245338029 PECOS PAC ID: 3173621554 Enrollment ID: I20070608000032 |
Provider Name | Lev J Paukman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659475267 PECOS PAC ID: 9032211594 Enrollment ID: I20070724000113 |
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