| Intermed Medical Ny Pc | |
|
10201 66th Rd Forest Hills NY 11375-2029 | |
| (718) 633-2455 | |
| (718) 633-2466 |
| Full Name | Intermed Medical Ny Pc |
|---|---|
| Speciality | Nuclear Medicine |
| Location | 10201 66th Rd, Forest Hills, New York |
| Authorized Official Name and Position | Farzad Haghighi (MD) |
| Authorized Official Contact | 7186332455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermed Medical Ny Pc 236 Broadway Suite 211 Brooklyn NY 11211-8414 Ph: (718) 633-2455 | Intermed Medical Ny Pc 10201 66th Rd Forest Hills NY 11375-2029 Ph: (718) 633-2455 |
| NPI Number | 1316308406 |
|---|---|
| Provider Enumeration Date | 03/16/2016 |
| Last Update Date | 05/30/2023 |
| Medicare PECOS PAC ID | 6204135569 |
|---|---|
| Medicare Enrollment ID | O20160509001261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316308406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 251936 (New York) | Secondary |
| 207UN0901X | Nuclear Medicine - Nuclear Cardiology | (* (Not Available)) | Primary |
| Provider Name | Farzad Haghighi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518106764 PECOS PAC ID: 3577610070 Enrollment ID: I20090428000216 |
| Provider Name | Olga A Burzyantseva |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104072586 PECOS PAC ID: 7719118322 Enrollment ID: I20140325000862 |
| Provider Name | Amalya Isakova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467999409 PECOS PAC ID: 4789950841 Enrollment ID: I20171018000974 |
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