Executive Medical Care,p.c. | |
3049 Brighton 6th Street Unit Cu 1 Brooklyn NY 11235-6409 | |
(718) 934-0322 | |
(718) 934-0994 |
Full Name | Executive Medical Care,p.c. |
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Speciality | Family Medicine |
Location | 3049 Brighton 6th Street, Brooklyn, New York |
Authorized Official Name and Position | Sergey Lugina (PRESIDENT , MEDICAL DIRECTOR) |
Authorized Official Contact | 6462708647 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Executive Medical Care,p.c. 42 Goodall St Staten Island NY 10308-3396 Ph: (646) 270-8647 | Executive Medical Care,p.c. 3049 Brighton 6th Street Unit Cu 1 Brooklyn NY 11235-6409 Ph: (718) 934-0322 |
NPI Number | 1326265885 |
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Provider Enumeration Date | 04/19/2007 |
Last Update Date | 07/26/2024 |
Medicare PECOS PAC ID | 2567551849 |
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Medicare Enrollment ID | O20071210000435 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326265885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 222476 (New York) | Primary |
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
Provider Name | Agnes V Garcia |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225184005 PECOS PAC ID: 0648211292 Enrollment ID: I20050513000559 |
Provider Name | Sergey Lugina |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275603250 PECOS PAC ID: 2567455710 Enrollment ID: I20060328000127 |
Provider Name | Ronald J Beauvais |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1972648947 PECOS PAC ID: 9638353006 Enrollment ID: I20110408000244 |
Provider Name | Emil L Gurshumov |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1942529367 PECOS PAC ID: 2264672401 Enrollment ID: I20130711000019 |
Provider Name | Michelle Zhubrak |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1457603391 PECOS PAC ID: 2264675875 Enrollment ID: I20141104000568 |
Provider Name | Alexander Nmoma |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1407096274 PECOS PAC ID: 9830491034 Enrollment ID: I20160105001816 |
Provider Name | Amnon Beniaminovitz |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1861770604 PECOS PAC ID: 1153616057 Enrollment ID: I20160816002772 |
Provider Name | Sunil Kini |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1215996681 PECOS PAC ID: 3678504230 Enrollment ID: I20161102001598 |
Provider Name | Vadim Abramov |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730479320 PECOS PAC ID: 3173804606 Enrollment ID: I20161221001312 |
Provider Name | Jerald D Hansing |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1891795696 PECOS PAC ID: 7911965033 Enrollment ID: I20171114000782 |
Provider Name | Guy E De Gent |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1558323139 PECOS PAC ID: 9931140753 Enrollment ID: I20180118000292 |
Provider Name | Ramsha Jabbar |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1598328940 PECOS PAC ID: 3971988395 Enrollment ID: I20220920003219 |
Provider Name | Lesya Ivankiv |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629859459 PECOS PAC ID: 7214380435 Enrollment ID: I20240124001911 |
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