| Inna Gordin Medical P.c. | |
|
1664 E 14th St Ste 302 Brooklyn NY 11229-1167 | |
| (718) 382-0500 | |
| (718) 382-7025 |
| Full Name | Inna Gordin Medical P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1664 E 14th St Ste 302, Brooklyn, New York |
| Authorized Official Name and Position | Inna Gordin (PRESIDENT) |
| Authorized Official Contact | 7183820500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inna Gordin Medical P.c. 1664 E 14th St Ste 302 Brooklyn NY 11229-1167 Ph: (718) 382-0500 | Inna Gordin Medical P.c. 1664 E 14th St Ste 302 Brooklyn NY 11229-1167 Ph: (718) 382-0500 |
| NPI Number | 1962635458 |
|---|---|
| Provider Enumeration Date | 08/31/2009 |
| Last Update Date | 08/31/2009 |
| Medicare PECOS PAC ID | 9830236611 |
|---|---|
| Medicare Enrollment ID | O20091027000799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962635458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 199895 (New York) | Primary |
| Provider Name | Qiang Hua Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427100726 PECOS PAC ID: 7719067495 Enrollment ID: I20080108000176 |
| Provider Name | Inna Gordin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093866386 PECOS PAC ID: 5496892275 Enrollment ID: I20091027000784 |
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