| Dutsi A Behm Physician, Pc | |
|
421 Ocean Pkwy 2nd Floor Brooklyn NY 11218-5118 | |
| (718) 438-8585 | |
| Not Available |
| Full Name | Dutsi A Behm Physician, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 421 Ocean Pkwy, Brooklyn, New York |
| Authorized Official Name and Position | Dutsi Behm (PRESIDENT) |
| Authorized Official Contact | 7184388585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dutsi A Behm Physician, Pc 421 Ocean Pkwy 2nd Floor Brooklyn NY 11218-5118 Ph: (718) 438-8585 | Dutsi A Behm Physician, Pc 421 Ocean Pkwy 2nd Floor Brooklyn NY 11218-5118 Ph: (718) 438-8585 |
| NPI Number | 1326103003 |
|---|---|
| Provider Enumeration Date | 12/24/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5092762476 |
|---|---|
| Medicare Enrollment ID | O20050407000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326103003 | NPI | - | NPPES |
| 00775737 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 154960 (New York) | Primary |
| Provider Name | Dutsi A Behm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982780078 PECOS PAC ID: 9739154956 Enrollment ID: I20040831001375 |
| Provider Name | Fedir Ilnitskyy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225334519 PECOS PAC ID: 6103091699 Enrollment ID: I20111212000695 |
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