| Doral Medical And Multi Specialty Facility Llc | |
|
1797 Pitkin Ave Brooklyn NY 11212-7841 | |
| (718) 367-2555 | |
| Not Available |
| Full Name | Doral Medical And Multi Specialty Facility Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1797 Pitkin Ave, Brooklyn, New York |
| Authorized Official Name and Position | David Lipschitz (PRESIDENT) |
| Authorized Official Contact | 9173646218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doral Medical And Multi Specialty Facility Llc 1797 Pitkin Ave Brooklyn NY 11212-7841 Ph: (718) 367-2555 | Doral Medical And Multi Specialty Facility Llc 1797 Pitkin Ave Brooklyn NY 11212-7841 Ph: (718) 367-2555 |
| NPI Number | 1144693607 |
|---|---|
| Provider Enumeration Date | 11/05/2015 |
| Last Update Date | 04/03/2020 |
| Medicare PECOS PAC ID | 9830528645 |
|---|---|
| Medicare Enrollment ID | O20200330003306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144693607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | David O Hosten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194785634 PECOS PAC ID: 1254222698 Enrollment ID: I20040323002019 |
| Provider Name | Serge Balmir |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841414216 PECOS PAC ID: 9335101815 Enrollment ID: I20041027000799 |
| Provider Name | Jay E Weissbluth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659376119 PECOS PAC ID: 6901840735 Enrollment ID: I20050618000174 |
| Provider Name | Esther Priegue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447292594 PECOS PAC ID: 5890798110 Enrollment ID: I20060807000028 |
| Provider Name | Ayman R Farag |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699861567 PECOS PAC ID: 5193725042 Enrollment ID: I20061228000160 |
| Provider Name | Angela Andalcio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124235890 PECOS PAC ID: 9931208063 Enrollment ID: I20070629000577 |
| Provider Name | Mervin Griffin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487636726 PECOS PAC ID: 2961471388 Enrollment ID: I20070926001038 |
| Provider Name | Indrani Persaud Umadat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356426795 PECOS PAC ID: 2163509506 Enrollment ID: I20080409000243 |
| Provider Name | Eric Dessner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861686545 PECOS PAC ID: 4486740693 Enrollment ID: I20081208000630 |
| Provider Name | Ramsing Pardeshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205895760 PECOS PAC ID: 2860554078 Enrollment ID: I20090224000409 |
| Provider Name | Yolanda Cestero |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1215024914 PECOS PAC ID: 7719166040 Enrollment ID: I20110119000601 |
| Provider Name | Sergey Terushkin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245424506 PECOS PAC ID: 4082739933 Enrollment ID: I20111014000118 |
| Provider Name | Gilbert T Brovar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952419616 PECOS PAC ID: 0840238655 Enrollment ID: I20111026000871 |
| Provider Name | Babak Hassid |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164740684 PECOS PAC ID: 2163695206 Enrollment ID: I20111104000355 |
| Provider Name | Harry F Crevecoeur |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720018674 PECOS PAC ID: 7214194828 Enrollment ID: I20120223000949 |
| Provider Name | Leon Robert Shein |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215004858 PECOS PAC ID: 1052448172 Enrollment ID: I20120227000045 |
| Provider Name | Rosalynn De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306204987 PECOS PAC ID: 1456657725 Enrollment ID: I20160311002067 |
| Provider Name | Giovanni Etienne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720435423 PECOS PAC ID: 8628359015 Enrollment ID: I20161222001178 |
| Provider Name | Nora L Benavides |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740558444 PECOS PAC ID: 2062771231 Enrollment ID: I20180116000222 |
| Provider Name | Maria Pillado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962878504 PECOS PAC ID: 4385985704 Enrollment ID: I20190412001520 |
| Provider Name | Michael D Jurewicz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649562414 PECOS PAC ID: 6406117522 Enrollment ID: I20191205001939 |
| Provider Name | Jack Husney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073856720 PECOS PAC ID: 1658619101 Enrollment ID: I20200326003100 |
| Provider Name | Zuleika Tavarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063058147 PECOS PAC ID: 2365863024 Enrollment ID: I20200604001117 |
| Provider Name | Sarah Jane Sankey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477931814 PECOS PAC ID: 5991060964 Enrollment ID: I20200617002180 |
| Provider Name | David Mandil |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093179285 PECOS PAC ID: 0042555427 Enrollment ID: I20200729002230 |
| Provider Name | Shaundel Serita Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619319803 PECOS PAC ID: 5395164586 Enrollment ID: I20201008000876 |
| Provider Name | Carena Laurel Walcott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578034989 PECOS PAC ID: 1355751488 Enrollment ID: I20201102000246 |
| Provider Name | Ufeta Tesla Om'iniabohs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184119752 PECOS PAC ID: 2860802543 Enrollment ID: I20201109001767 |
| Provider Name | Barbara Borgella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700482940 PECOS PAC ID: 3779987144 Enrollment ID: I20210806001027 |
| Provider Name | Lizet Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154996916 PECOS PAC ID: 2769888700 Enrollment ID: I20210831001086 |
| Provider Name | Fremlin A Dekyi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265921662 PECOS PAC ID: 8628323292 Enrollment ID: I20210916000598 |
| Provider Name | Alexander Abdurakhmanov |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538556196 PECOS PAC ID: 7618212085 Enrollment ID: I20210927002299 |
| Provider Name | Ziyad Ahmad Mansur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164986816 PECOS PAC ID: 7315336823 Enrollment ID: I20211122001616 |
| Provider Name | Tyler Dylan Thompson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447823729 PECOS PAC ID: 0345630760 Enrollment ID: I20211129001725 |
| Provider Name | Freda Safiev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700400793 PECOS PAC ID: 2264819952 Enrollment ID: I20220518002708 |
| Provider Name | Kristel Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538762752 PECOS PAC ID: 8022495563 Enrollment ID: I20220523000424 |
| Provider Name | Maxime Junior Toussaint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083057897 PECOS PAC ID: 2365781333 Enrollment ID: I20220609001763 |
| Provider Name | Sherrille Latoya-roberta Bethune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427707413 PECOS PAC ID: 7517330731 Enrollment ID: I20230308001680 |
| Provider Name | Beatrice Gilzine-blackwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093122525 PECOS PAC ID: 2163887597 Enrollment ID: I20230508001418 |
| Provider Name | Lissette Alexandra Otero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255037065 PECOS PAC ID: 6507212206 Enrollment ID: I20231101002534 |
American Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 Rockaway Ave, Brooklyn, NY 11212 Phone: 718-346-2628 Fax: 718-346-9381 | |
Refua Shlema Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 499 Crown St, Brooklyn, NY 11213 Phone: 347-614-1717 | |
University Physicians Of Brooklyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Clarkson Ave, Suite A, Brooklyn, NY 11203 Phone: 718-270-1112 Fax: 718-270-3170 | |
Sikder Medical Care P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 504 Mcdonald Ave, Brooklyn, NY 11218 Phone: 917-442-1797 Fax: 718-732-0783 | |
Flatbush Medical Plaza, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1468 Flatbush Ave., Brooklyn, NY 11210 Phone: 917-966-2700 Fax: 917-966-2703 | |
Rds Medical P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7510 4th Ave, Ste 5, Brooklyn, NY 11209 Phone: 718-836-0761 Fax: 718-836-7369 | |
Brooks Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5014 Beverley Rd, Brooklyn, NY 11203 Phone: 718-241-0182 Fax: 718-451-2517 |