| Ik Medical Pc | |
|
8401 Fort Hamilton Pkwy Brooklyn NY 11209-4805 | |
| (718) 759-0105 | |
| (718) 759-0800 |
| Full Name | Ik Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8401 Fort Hamilton Pkwy, Brooklyn, New York |
| Authorized Official Name and Position | Lorraine Carrara (BILLER) |
| Authorized Official Contact | 6314628783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ik Medical Pc 6500 Jericho Tpke Ste 206 Commack NY 11725-2907 Ph: (631) 462-8783 | Ik Medical Pc 8401 Fort Hamilton Pkwy Brooklyn NY 11209-4805 Ph: (718) 759-0105 |
| NPI Number | 1437813433 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 01/04/2022 |
| Medicare PECOS PAC ID | 2264825744 |
|---|---|
| Medicare Enrollment ID | O20220204000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437813433 | NPI | - | NPPES |
| 01849825 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John T Rigney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255449229 PECOS PAC ID: 6103814272 Enrollment ID: I20040505001559 |
| Provider Name | Irina Krym |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669565438 PECOS PAC ID: 8820057201 Enrollment ID: I20041011000347 |
| Provider Name | Donald C Wallerson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407885387 PECOS PAC ID: 6204888464 Enrollment ID: I20050222000687 |
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