| George Malegiannakis Physician Pc | |
|
1811 Avenue P Suite 1a Brooklyn NY 11229 | |
| (718) 375-7595 | |
| (718) 375-7559 |
| Full Name | George Malegiannakis Physician Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1811 Avenue P, Brooklyn, New York |
| Authorized Official Name and Position | George Michael Malegiannakis (PHYSICIAN) |
| Authorized Official Contact | 7183757595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| George Malegiannakis Physician Pc 1811 Avenue P Suite 1a Brooklyn NY 11229 Ph: (718) 375-7595 | George Malegiannakis Physician Pc 1811 Avenue P Suite 1a Brooklyn NY 11229 Ph: (718) 375-7595 |
| NPI Number | 1952696791 |
|---|---|
| Provider Enumeration Date | 06/09/2011 |
| Last Update Date | 06/09/2011 |
| Medicare PECOS PAC ID | 8921286956 |
|---|---|
| Medicare Enrollment ID | O20110622000437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952696791 | NPI | - | NPPES |
| 02499338 | Medicaid | NY | |
| 1376503383 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 224662 (New York) | Primary |
| Provider Name | George M Malegiannakis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376503383 PECOS PAC ID: 1951329812 Enrollment ID: I20051109000420 |
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