| Brooklyn Gastroenterology And Endoscopy Pllc | |
|
2211 Emmons Ave Brooklyn NY 11235-2792 | |
| (718) 368-2960 | |
| (718) 368-2249 |
| Full Name | Brooklyn Gastroenterology And Endoscopy Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2211 Emmons Ave, Brooklyn, New York |
| Authorized Official Name and Position | Scott Tenner (MBR) |
| Authorized Official Contact | 7183682960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn Gastroenterology And Endoscopy Pllc 2211 Emmons Ave Brooklyn NY 11235-2792 Ph: (718) 368-2960 | Brooklyn Gastroenterology And Endoscopy Pllc 2211 Emmons Ave Brooklyn NY 11235-2792 Ph: (718) 368-2960 |
| NPI Number | 1861662991 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 03/04/2008 |
| Medicare PECOS PAC ID | 4880768373 |
|---|---|
| Medicare Enrollment ID | O20080731000667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861662991 | NPI | - | NPPES |
| 1 | Other | 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (New York) | Primary |
| Provider Name | Gulam M Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265588362 PECOS PAC ID: 8527959212 Enrollment ID: I20040323000215 |
| Provider Name | Scott Tenner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750398566 PECOS PAC ID: 6901889070 Enrollment ID: I20040609001508 |
| Provider Name | Prabhakar R Veeramachaneni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578597068 PECOS PAC ID: 4981675824 Enrollment ID: I20040804000128 |
| Provider Name | Sheryl Brustein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730145525 PECOS PAC ID: 7517928625 Enrollment ID: I20041022000041 |
| Provider Name | Walaa B Housny |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1285702621 PECOS PAC ID: 2264493121 Enrollment ID: I20041023000121 |
| Provider Name | Regina S Grinker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497733760 PECOS PAC ID: 6608894704 Enrollment ID: I20051108000065 |
| Provider Name | Roger B Spencer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265521892 PECOS PAC ID: 0244239135 Enrollment ID: I20061202000101 |
| Provider Name | Robin Baradarian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104841931 PECOS PAC ID: 3779583448 Enrollment ID: I20070102000384 |
| Provider Name | Wagih A Saweris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598706210 PECOS PAC ID: 4880787464 Enrollment ID: I20070912000788 |
| Provider Name | Michael Ivan Zelenetz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457565640 PECOS PAC ID: 7315023165 Enrollment ID: I20080319000629 |
| Provider Name | Mudnia Sheikh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164608998 PECOS PAC ID: 2567541253 Enrollment ID: I20080506000794 |
| Provider Name | Nison L Badalov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417141664 PECOS PAC ID: 0446315584 Enrollment ID: I20090224000496 |
| Provider Name | Said I Sultan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114969474 PECOS PAC ID: 4981761830 Enrollment ID: I20090320000517 |
| Provider Name | Wael Z Eldarawy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437318730 PECOS PAC ID: 4880742352 Enrollment ID: I20090512000053 |
| Provider Name | Caterina Oneto Araya |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245559764 PECOS PAC ID: 5496889446 Enrollment ID: I20100813000003 |
| Provider Name | Sofia Novak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629309885 PECOS PAC ID: 9830387406 Enrollment ID: I20101223000157 |
| Provider Name | Sam Weissman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922083880 PECOS PAC ID: 3971760935 Enrollment ID: I20120201001018 |
| Provider Name | Jack P Braha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548456890 PECOS PAC ID: 4688836356 Enrollment ID: I20120426000196 |
| Provider Name | Vyachislav Abayev |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437394574 PECOS PAC ID: 3375792450 Enrollment ID: I20121004000611 |
| Provider Name | Mila Tempel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871764225 PECOS PAC ID: 8527284462 Enrollment ID: I20140729001951 |
| Provider Name | Kevin H Pollak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104979178 PECOS PAC ID: 3577656172 Enrollment ID: I20150106001346 |
| Provider Name | Jean Atallah-vinograd |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942444393 PECOS PAC ID: 3173835816 Enrollment ID: I20150708002729 |
| Provider Name | Qinghu Ren |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376773978 PECOS PAC ID: 3779895172 Enrollment ID: I20160920001810 |
| Provider Name | Steven Guttmann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942438700 PECOS PAC ID: 2466749379 Enrollment ID: I20160921000030 |
| Provider Name | Mark W Saweris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467870741 PECOS PAC ID: 8224393707 Enrollment ID: I20180604002425 |
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