| City Wide Health Facility, Inc. | |
|
201 Kings Hwy Brooklyn NY 11223-1106 | |
| (718) 621-1811 | |
| (718) 837-1274 |
| Full Name | City Wide Health Facility, Inc. |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 201 Kings Hwy, Brooklyn, New York |
| Authorized Official Name and Position | Larry Reznik (ADMINISTRATOR) |
| Authorized Official Contact | 7186211811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| City Wide Health Facility, Inc. 201 Kings Hwy Brooklyn NY 11223-1106 Ph: (718) 621-1811 | City Wide Health Facility, Inc. 201 Kings Hwy Brooklyn NY 11223-1106 Ph: (718) 621-1811 |
| NPI Number | 1013934025 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 08/20/2015 |
| Medicare PECOS PAC ID | 6608766688 |
|---|---|
| Medicare Enrollment ID | O20040316000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013934025 | NPI | - | NPPES |
| 02279954 | Medicaid | NY |
| Provider Name | Michael Yuz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710972617 PECOS PAC ID: 6507756822 Enrollment ID: I20040318001252 |
| Provider Name | John T Rigney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255449229 PECOS PAC ID: 6103814272 Enrollment ID: I20040505001559 |
| Provider Name | Harvey Stern |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437257581 PECOS PAC ID: 7113917162 Enrollment ID: I20040513000372 |
| Provider Name | Daniel B Lerer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316066228 PECOS PAC ID: 7911989603 Enrollment ID: I20040605000247 |
| Provider Name | Sasan Azar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275596793 PECOS PAC ID: 9739161183 Enrollment ID: I20041109000382 |
| Provider Name | Srinivas Bonthu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558335646 PECOS PAC ID: 3072545383 Enrollment ID: I20050908000078 |
| Provider Name | Serge Somrov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346462629 PECOS PAC ID: 7012017957 Enrollment ID: I20070707000064 |
| Provider Name | Menachem M Gold |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528223526 PECOS PAC ID: 5496816746 Enrollment ID: I20081205000275 |
| Provider Name | Aamer Farooki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316941859 PECOS PAC ID: 5698768539 Enrollment ID: I20090318000500 |
| Provider Name | Ralph Dauito |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073562872 PECOS PAC ID: 6305820648 Enrollment ID: I20110304000641 |
| Provider Name | Dimitry Hikin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457619017 PECOS PAC ID: 7315101508 Enrollment ID: I20120620000278 |
| Provider Name | Alexander Garger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376730325 PECOS PAC ID: 4587891957 Enrollment ID: I20140718001472 |
| Provider Name | David Borukhov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902105190 PECOS PAC ID: 8820375017 Enrollment ID: I20170425001749 |
| Provider Name | Andrew Rosenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942208079 PECOS PAC ID: 9335131408 Enrollment ID: I20171024000384 |
| Provider Name | Jerald D Hansing |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891795696 PECOS PAC ID: 7911965033 Enrollment ID: I20171114000782 |
| Provider Name | Pradheep Jothi Shanker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457399818 PECOS PAC ID: 8123030657 Enrollment ID: I20171206002158 |
| Provider Name | Abbas Chamsuddin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578539557 PECOS PAC ID: 0446150262 Enrollment ID: I20180216000474 |
| Provider Name | Christian J Ingui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407893894 PECOS PAC ID: 0042213431 Enrollment ID: I20180301001423 |
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