| Brokhin Medical, Pc | |
|
3131 Kings Hwy Ste B10 Medical Office Brooklyn NY 11234-2643 | |
| (347) 462-9292 | |
| (646) 393-5500 |
| Full Name | Brokhin Medical, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3131 Kings Hwy Ste B10, Brooklyn, New York |
| Authorized Official Name and Position | Matvey Brokhin (ENDOCRINOLOGY PHYSICIAN) |
| Authorized Official Contact | 6465002160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brokhin Medical, Pc 170 Major Ave Staten Island NY 10305-3735 Ph: (646) 500-2160 | Brokhin Medical, Pc 3131 Kings Hwy Ste B10 Medical Office Brooklyn NY 11234-2643 Ph: (347) 462-9292 |
| NPI Number | 1770816746 |
|---|---|
| Provider Enumeration Date | 09/09/2009 |
| Last Update Date | 07/29/2011 |
| Medicare PECOS PAC ID | 9133266414 |
|---|---|
| Medicare Enrollment ID | O20091019000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770816746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 232962 (New York) | Primary |
| Provider Name | Matvey Brokhin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770615064 PECOS PAC ID: 3870699648 Enrollment ID: I20090714000176 |
| Provider Name | Shilpa Tharian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942611736 PECOS PAC ID: 6002136595 Enrollment ID: I20150526000059 |
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