| Gastroenterology Associates Of Brooklyn Pllc | |
|
1723 E 12th St Brooklyn NY 11229-1069 | |
| (718) 336-3900 | |
| (718) 336-3990 |
| Full Name | Gastroenterology Associates Of Brooklyn Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1723 E 12th St, Brooklyn, New York |
| Authorized Official Name and Position | Ian Wall (OWNER) |
| Authorized Official Contact | 7183363900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Associates Of Brooklyn Pllc 1723 E 12th St Brooklyn NY 11229-1069 Ph: (718) 336-3900 | Gastroenterology Associates Of Brooklyn Pllc 1723 E 12th St Brooklyn NY 11229-1069 Ph: (718) 336-3900 |
| NPI Number | 1821427964 |
|---|---|
| Provider Enumeration Date | 11/08/2013 |
| Last Update Date | 11/27/2013 |
| Medicare PECOS PAC ID | 9830322312 |
|---|---|
| Medicare Enrollment ID | O20140508000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821427964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Ashraf Samaan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437104437 PECOS PAC ID: 2163328121 Enrollment ID: I20031210000430 |
| Provider Name | Jayalakshmi Harid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538102389 PECOS PAC ID: 1951293885 Enrollment ID: I20040326000138 |
| Provider Name | Diana Teper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558383489 PECOS PAC ID: 4587658950 Enrollment ID: I20040409000457 |
| Provider Name | Dmitry Khasak |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1649258286 PECOS PAC ID: 1557357340 Enrollment ID: I20040426000788 |
| Provider Name | Andrew M.g. Davy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891757274 PECOS PAC ID: 3678560836 Enrollment ID: I20040428001651 |
| Provider Name | Zinaida Lyuboff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003822628 PECOS PAC ID: 5698780799 Enrollment ID: I20060210000325 |
| Provider Name | Ian Michael Wall |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528170792 PECOS PAC ID: 2163420639 Enrollment ID: I20061116000203 |
| Provider Name | Tamara Sabzanova |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508809351 PECOS PAC ID: 9032216007 Enrollment ID: I20070525000517 |
| Provider Name | Liying O Han |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750502589 PECOS PAC ID: 6507952595 Enrollment ID: I20071023000082 |
| Provider Name | Petr Sabzanov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760484505 PECOS PAC ID: 1951403963 Enrollment ID: I20081205000498 |
| Provider Name | Nison L Badalov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417141664 PECOS PAC ID: 0446315584 Enrollment ID: I20090224000496 |
| Provider Name | Zvika J. Schreiber |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891966693 PECOS PAC ID: 1850585407 Enrollment ID: I20101028000202 |
| Provider Name | Alexander Brodsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396781332 PECOS PAC ID: 8224130190 Enrollment ID: I20110218000412 |
| Provider Name | Rabin B Rahmani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457514044 PECOS PAC ID: 7810175601 Enrollment ID: I20110627000255 |
| Provider Name | Cynthia Gregorio |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295937845 PECOS PAC ID: 0840391405 Enrollment ID: I20111228000041 |
| Provider Name | Pierre Hindy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164605903 PECOS PAC ID: 2264694959 Enrollment ID: I20120425000281 |
| Provider Name | Kayane Hanna-hindy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962664144 PECOS PAC ID: 9032354113 Enrollment ID: I20130320000173 |
| Provider Name | Kevin Tin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174812044 PECOS PAC ID: 9830415728 Enrollment ID: I20150312001295 |
| Provider Name | Cynthia E Quainoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497916837 PECOS PAC ID: 7618285768 Enrollment ID: I20151009000568 |
| Provider Name | Tatyana Tsifrinovich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437225638 PECOS PAC ID: 4385815067 Enrollment ID: I20160610000110 |
| Provider Name | Negar Niknam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922400092 PECOS PAC ID: 9335493527 Enrollment ID: I20190709002762 |
| Provider Name | Judah Horowitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093235103 PECOS PAC ID: 3375886054 Enrollment ID: I20230126000777 |
| Provider Name | Isaiah P Schuster |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144602780 PECOS PAC ID: 6800261462 Enrollment ID: I20230412002393 |
| Provider Name | Anush M Vasikaran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669836789 PECOS PAC ID: 7517253651 Enrollment ID: I20231025001636 |
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