| Cedarhurst Medical Associates P.c. | |
|
407 Beach 20th Street Far Rockaway NY 11691 | |
| (718) 471-7010 | |
| (718) 337-1548 |
| Full Name | Cedarhurst Medical Associates P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 407 Beach 20th Street, Far Rockaway, New York |
| Authorized Official Name and Position | Dmitriy Elkin (PRESIDENT) |
| Authorized Official Contact | 7184717010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedarhurst Medical Associates P.c. 407 Beach 20th Street Far Rockaway NY 11691 Ph: (718) 471-7010 | Cedarhurst Medical Associates P.c. 407 Beach 20th Street Far Rockaway NY 11691 Ph: (718) 471-7010 |
| NPI Number | 1053532234 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 10/21/2024 |
| Medicare PECOS PAC ID | 7113818212 |
|---|---|
| Medicare Enrollment ID | O20040319001585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053532234 | NPI | - | NPPES |
| 0009388 | Other | NY | GHI |
| 000451701 | Other | NY | US HEALTHCARE |
| CEOW024010 | Other | NY | BLUE CHOICE |
| 00791846 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 079794-1 (New York) | Primary |
| Provider Name | Irina Natalenko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619925344 PECOS PAC ID: 6800834409 Enrollment ID: I20050425000081 |
| Provider Name | Dmitriy Elkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760431761 PECOS PAC ID: 2860484177 Enrollment ID: I20170504002649 |
St John's Medical Services Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 327 Beach 19th St, Far Rockaway, NY 11691 Phone: 718-869-7641 Fax: 718-869-8507 | |
Su Salud Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1855 Mott Ave, Far Rockaway, NY 11691 Phone: 718-200-0723 Fax: 718-471-2865 | |
Good Will Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 15 Beach Channel Drive, Peninsula Hospital, Far Rockaway, NY 11691 Phone: 718-734-2345 Fax: 718-734-2808 | |
M&l Medical Services. P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2004 Seagirt Blvd, Far Rockaway, NY 11691 Phone: 718-868-8620 Fax: 718-868-8611 | |
Samuel Bavli, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 327 Beach 19th St, Department Of Medicine, Far Rockaway, NY 11691 Phone: 718-869-7315 | |
Fegs Far Rockaway Mntl Hlth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Central Ave, Far Rockaway, NY 11691 Phone: 718-327-1600 Fax: 718-868-4792 |