Crown Heights Medical, P.c. | |
1 Main St Monsey NY 10952-3704 | |
(845) 371-7200 | |
Not Available |
Full Name | Crown Heights Medical, P.c. |
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Speciality | Clinic/Center |
Location | 1 Main St, Monsey, New York |
Authorized Official Name and Position | Seth David Kurtz (PRESIDENT) |
Authorized Official Contact | 8453717200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Crown Heights Medical, P.c. 12 Deerwood Rd Spring Valley NY 10977-1001 Ph: () - | Crown Heights Medical, P.c. 1 Main St Monsey NY 10952-3704 Ph: (845) 371-7200 |
NPI Number | 1821210402 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 05/24/2023 |
Medicare PECOS PAC ID | 1850794843 |
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Medicare Enrollment ID | O20210728002910 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821210402 | NPI | - | NPPES |
02811094 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 232596 (New York) | Primary |
Provider Name | Mayer E Ballas |
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Provider Type | Practitioner - Nuclear Medicine |
Provider Identifiers | NPI Number: 1215968318 PECOS PAC ID: 8022909027 Enrollment ID: I20040322000067 |
Provider Name | James Mariano Cimo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265424626 PECOS PAC ID: 9436142171 Enrollment ID: I20040416000722 |
Provider Name | Michael A Rollin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144310087 PECOS PAC ID: 5698719433 Enrollment ID: I20050614000008 |
Provider Name | Seth D Kurtz |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1023113453 PECOS PAC ID: 3375543051 Enrollment ID: I20070102000424 |
Provider Name | Scott A Morgan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700026945 PECOS PAC ID: 8820122005 Enrollment ID: I20100811000082 |
Provider Name | Patricia Kivlehan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730638453 PECOS PAC ID: 1850672098 Enrollment ID: I20170103000360 |
Provider Name | Cindy-anne Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437393253 PECOS PAC ID: 9436413432 Enrollment ID: I20180427000293 |
Provider Name | Mark Ilyagu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073994711 PECOS PAC ID: 8820340151 Enrollment ID: I20181015000980 |
Provider Name | Teresa Ann Sullivan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659847416 PECOS PAC ID: 6002150174 Enrollment ID: I20181129002608 |
Provider Name | Frank Pedro Flores |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1194953240 PECOS PAC ID: 6406194489 Enrollment ID: I20190218001020 |
Provider Name | Yehuda J Schonfeld |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184922445 PECOS PAC ID: 3779915749 Enrollment ID: I20191112003167 |
Provider Name | Bhupinder Kaur |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518592948 PECOS PAC ID: 4284057548 Enrollment ID: I20200706002613 |
Provider Name | Nosson Hayum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609259530 PECOS PAC ID: 0840506309 Enrollment ID: I20211018002051 |
Provider Name | Mikhail Khaitov |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1265963094 PECOS PAC ID: 2062805518 Enrollment ID: I20220207000808 |
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