| Fedir Ilnitskyy Md Pc | |
|
421 Ocean Parkway Suite 2a Brooklyn NY 11218 | |
| (718) 438-8585 | |
| (718) 282-7475 |
| Full Name | Fedir Ilnitskyy Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 421 Ocean Parkway, Brooklyn, New York |
| Authorized Official Name and Position | Fedir Ilnitskyy (PRESIDENT) |
| Authorized Official Contact | 7184388585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fedir Ilnitskyy Md Pc 421 Ocean Parkway Brooklyn NY 11218 Ph: (718) 438-8585 | Fedir Ilnitskyy Md Pc 421 Ocean Parkway Suite 2a Brooklyn NY 11218 Ph: (718) 438-8585 |
| NPI Number | 1831618933 |
|---|---|
| Provider Enumeration Date | 09/11/2017 |
| Last Update Date | 09/11/2017 |
| Medicare PECOS PAC ID | 4789945130 |
|---|---|
| Medicare Enrollment ID | O20180227000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831618933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 262740 (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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