| Idcc Health Services | |
|
445 Kings Hwy Brooklyn NY 11223-1780 | |
| (718) 621-1811 | |
| (718) 837-1274 |
| Full Name | Idcc Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 445 Kings Hwy, Brooklyn, New York |
| Authorized Official Name and Position | Ana G Tejada (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 9292737601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Idcc Health Services 1623 Kings Hwy Brooklyn NY 11229-1209 Ph: (718) 375-1200 | Idcc Health Services 445 Kings Hwy Brooklyn NY 11223-1780 Ph: (718) 621-1811 |
| NPI Number | 1528447679 |
|---|---|
| Provider Enumeration Date | 05/21/2015 |
| Last Update Date | 08/03/2021 |
| Medicare PECOS PAC ID | 4981994621 |
|---|---|
| Medicare Enrollment ID | O20160608000918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528447679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Inna Tovbina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386722775 PECOS PAC ID: 4880508332 Enrollment ID: I20031118000668 |
| Provider Name | Irina Shammay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073550935 PECOS PAC ID: 9739076175 Enrollment ID: I20040304000430 |
| Provider Name | Igor Zakharov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043389539 PECOS PAC ID: 9537051933 Enrollment ID: I20040329001607 |
| Provider Name | Merabi Zonenashvili |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659335537 PECOS PAC ID: 5294727046 Enrollment ID: I20040401000094 |
| Provider Name | Leonid Shegelman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639182066 PECOS PAC ID: 2062400922 Enrollment ID: I20040501000161 |
| Provider Name | Joseph D'amore |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1932193513 PECOS PAC ID: 9436145463 Enrollment ID: I20040507001358 |
| Provider Name | Irina Pruchansky |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1811080351 PECOS PAC ID: 9436149291 Enrollment ID: I20040513001200 |
| Provider Name | Mark H Vine |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386668010 PECOS PAC ID: 2466433602 Enrollment ID: I20040525001099 |
| Provider Name | Aleksandr Shulman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851339568 PECOS PAC ID: 8022004969 Enrollment ID: I20040630000034 |
| Provider Name | Aleksandr Plotkin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467546945 PECOS PAC ID: 1759350788 Enrollment ID: I20040927001208 |
| Provider Name | Yelena Amitina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548380892 PECOS PAC ID: 8527028521 Enrollment ID: I20041014000182 |
| Provider Name | Helen Zaltsman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104819010 PECOS PAC ID: 8628021995 Enrollment ID: I20050226000015 |
| Provider Name | Maria Katsev |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881744779 PECOS PAC ID: 8527091826 Enrollment ID: I20050916000544 |
| Provider Name | Stella Geller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811910219 PECOS PAC ID: 1153343082 Enrollment ID: I20051220000712 |
| Provider Name | Bogdan D Negrea |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144200882 PECOS PAC ID: 9931296779 Enrollment ID: I20071026000111 |
| Provider Name | Felix Sterling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801066907 PECOS PAC ID: 1052471174 Enrollment ID: I20081119000663 |
| Provider Name | Irina Kogan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679730477 PECOS PAC ID: 7810046984 Enrollment ID: I20090520000027 |
| Provider Name | Alex Natanzon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467613281 PECOS PAC ID: 8921131699 Enrollment ID: I20100802000361 |
| Provider Name | Feliks Tabenshlak |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053688796 PECOS PAC ID: 7416114087 Enrollment ID: I20120209000325 |
| Provider Name | Yevgeniy Sorokin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295022168 PECOS PAC ID: 1456513589 Enrollment ID: I20120507000176 |
| Provider Name | Ilya Rukhman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912256652 PECOS PAC ID: 2769700954 Enrollment ID: I20150420001488 |
| Provider Name | Cynthia E Quainoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497916837 PECOS PAC ID: 7618285768 Enrollment ID: I20151009000568 |
| Provider Name | Anthony Bukher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356890180 PECOS PAC ID: 1658650080 Enrollment ID: I20161108000386 |
| Provider Name | Dina Israelov |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992130348 PECOS PAC ID: 8921374877 Enrollment ID: I20171023000039 |
| Provider Name | Andrew Rosenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942208079 PECOS PAC ID: 9335131408 Enrollment ID: I20171024000384 |
| Provider Name | M Nayeem |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013441252 PECOS PAC ID: 6002231149 Enrollment ID: I20200806000278 |
| Provider Name | Michael Osei Kwakye |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104232040 PECOS PAC ID: 1557759628 Enrollment ID: I20211021001930 |
| Provider Name | Angelina Ifraimova |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073089330 PECOS PAC ID: 4880084730 Enrollment ID: I20211208000639 |
| Provider Name | Alla Karpman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639722838 PECOS PAC ID: 8527395995 Enrollment ID: I20211220000225 |
| Provider Name | Elena Granger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295225498 PECOS PAC ID: 1254709215 Enrollment ID: I20221122002351 |
| Provider Name | Joseph Varshavsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770290991 PECOS PAC ID: 6103295654 Enrollment ID: I20221206001403 |
| Provider Name | Svetlana Katayev |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891179313 PECOS PAC ID: 8921477480 Enrollment ID: I20221206001810 |
| Provider Name | Katerina Blagovidova |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871268441 PECOS PAC ID: 4284003419 Enrollment ID: I20221212000423 |
| Provider Name | Destiny Dominique Rudder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023738507 PECOS PAC ID: 6103297411 Enrollment ID: I20230125000509 |
| Provider Name | Tural Khalilov |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891477931 PECOS PAC ID: 1658735626 Enrollment ID: I20230908001783 |
| Provider Name | Joanne Chen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659148567 PECOS PAC ID: 4284085283 Enrollment ID: I20240103003940 |
American Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 Rockaway Ave, Brooklyn, NY 11212 Phone: 718-346-2628 Fax: 718-346-9381 | |
Refua Shlema Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 499 Crown St, Brooklyn, NY 11213 Phone: 347-614-1717 | |
University Physicians Of Brooklyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Clarkson Ave, Suite A, Brooklyn, NY 11203 Phone: 718-270-1112 Fax: 718-270-3170 | |
Sikder Medical Care P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 504 Mcdonald Ave, Brooklyn, NY 11218 Phone: 917-442-1797 Fax: 718-732-0783 | |
Flatbush Medical Plaza, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1468 Flatbush Ave., Brooklyn, NY 11210 Phone: 917-966-2700 Fax: 917-966-2703 | |
Rds Medical P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7510 4th Ave, Ste 5, Brooklyn, NY 11209 Phone: 718-836-0761 Fax: 718-836-7369 | |
Brooks Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5014 Beverley Rd, Brooklyn, NY 11203 Phone: 718-241-0182 Fax: 718-451-2517 |