| Bay Park One Medical, Pc | |
|
64-07 18th Ave Brooklyn NY 11224 | |
| (718) 621-0800 | |
| Not Available |
| Full Name | Bay Park One Medical, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 64-07 18th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Bella Aloyts (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7186210800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Park One Medical, Pc 64-07 18th Ave Brooklyn NY 11224 Ph: (718) 332-9592 | Bay Park One Medical, Pc 64-07 18th Ave Brooklyn NY 11224 Ph: (718) 621-0800 |
| NPI Number | 1558461335 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 01/12/2012 |
| Medicare PECOS PAC ID | 0749206209 |
|---|---|
| Medicare Enrollment ID | O20051024000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558461335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lily Weinstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174510408 PECOS PAC ID: 6608867098 Enrollment ID: I20040524000659 |
| Provider Name | Steven V Gutin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255370276 PECOS PAC ID: 4284614173 Enrollment ID: I20040721001473 |
| Provider Name | Bella Aloyts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750451407 PECOS PAC ID: 6709866627 Enrollment ID: I20040721001751 |
| Provider Name | Yelena Amitina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548380892 PECOS PAC ID: 8527028521 Enrollment ID: I20041014000182 |
| Provider Name | John Pawson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871564070 PECOS PAC ID: 6002873734 Enrollment ID: I20041214001249 |
| Provider Name | Leonid Goldin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770631186 PECOS PAC ID: 1951359736 Enrollment ID: I20050107000845 |
| Provider Name | Rimma Pichkar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174592836 PECOS PAC ID: 0446260384 Enrollment ID: I20060421000501 |
| Provider Name | Svetlana Tulchinskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265880579 PECOS PAC ID: 4789963372 Enrollment ID: I20161123000667 |
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