Elk Medical Pllc | |
910 Park Pl Suite 1-b Brooklyn NY 11216-4000 | |
(708) 773-0883 | |
(718) 773-3728 |
Full Name | Elk Medical Pllc |
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Speciality | Internal Medicine |
Location | 910 Park Pl, Brooklyn, New York |
Authorized Official Name and Position | Saka Aramide Kazeem (PRESIDENT) |
Authorized Official Contact | 7187730883 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elk Medical Pllc 910 Park Pl Suite 1-b Brooklyn NY 11216-4000 Ph: (708) 773-0883 | Elk Medical Pllc 910 Park Pl Suite 1-b Brooklyn NY 11216-4000 Ph: (708) 773-0883 |
NPI Number | 1598945388 |
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Provider Enumeration Date | 11/08/2007 |
Last Update Date | 11/08/2007 |
Medicare PECOS PAC ID | 0547310526 |
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Medicare Enrollment ID | O20090612000357 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598945388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 187740 (New York) | Primary |
Provider Name | Saka Aramide Kazeem |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922057397 PECOS PAC ID: 6901842202 Enrollment ID: I20050707000830 |
Provider Name | Bhanu Iyer |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1730287269 PECOS PAC ID: 1153422308 Enrollment ID: I20070718000677 |
Provider Name | Sandra Stein |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1245454354 PECOS PAC ID: 3577714781 Enrollment ID: I20121116000497 |
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