Internal Medicine Wellbeing Pllc | |
8713 Myrtle Ave Glendale NY 11385-7847 | |
(718) 971-9509 | |
Not Available |
Full Name | Internal Medicine Wellbeing Pllc |
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Speciality | Internal Medicine |
Location | 8713 Myrtle Ave, Glendale, New York |
Authorized Official Name and Position | Aleksey Etinger (OWNER) |
Authorized Official Contact | 7189719509 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Internal Medicine Wellbeing Pllc 8713 Myrtle Ave Glendale NY 11385-7847 Ph: (516) 366-0339 | Internal Medicine Wellbeing Pllc 8713 Myrtle Ave Glendale NY 11385-7847 Ph: (718) 971-9509 |
NPI Number | 1205526472 |
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Provider Enumeration Date | 05/11/2023 |
Last Update Date | 07/24/2024 |
Medicare PECOS PAC ID | 6406206309 |
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Medicare Enrollment ID | O20231219000162 |
Identifier | Type | State | Issuer |
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1205526472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
Provider Name | Yuriy Dekhkanov |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1235405432 PECOS PAC ID: 5092015669 Enrollment ID: I20151203002340 |
Provider Name | Aleksey Etinger |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225304496 PECOS PAC ID: 5698033256 Enrollment ID: I20180829000467 |
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