| Ion Oltean Physician Pc | |
|
139 66 35th Ave Bayside NY 11354 | |
| (718) 963-3350 | |
| Not Available |
| Full Name | Ion Oltean Physician Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 139 66 35th Ave, Bayside, New York |
| Authorized Official Name and Position | Ion Oltean (PRESIDENT) |
| Authorized Official Contact | 7186310500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ion Oltean Physician Pc 62 Seasongood Rd Forest Hills NY 11375-6033 Ph: (718) 631-0500 | Ion Oltean Physician Pc 139 66 35th Ave Bayside NY 11354 Ph: (718) 963-3350 |
| NPI Number | 1912236811 |
|---|---|
| Provider Enumeration Date | 12/24/2009 |
| Last Update Date | 12/24/2009 |
| Medicare PECOS PAC ID | 6406990860 |
|---|---|
| Medicare Enrollment ID | O20100223000519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912236811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 218142 (New York) | Primary |
| Provider Name | Ion Oltean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184729113 PECOS PAC ID: 2163486432 Enrollment ID: I20041228000459 |
| Provider Name | Elizabeth Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104834449 PECOS PAC ID: 2365444767 Enrollment ID: I20070214000305 |
| Provider Name | Shonette Miller Costen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770770323 PECOS PAC ID: 1951567379 Enrollment ID: I20120730000161 |
| Provider Name | Dainelle S Kich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982962460 PECOS PAC ID: 3375790389 Enrollment ID: I20120827000717 |
| Provider Name | Marilyn Bien-aime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467641449 PECOS PAC ID: 2860539772 Enrollment ID: I20140226001018 |
| Provider Name | Kevin Tin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174812044 PECOS PAC ID: 9830415728 Enrollment ID: I20150312001295 |
| Provider Name | Evelyn Uwakwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578816344 PECOS PAC ID: 5395058994 Enrollment ID: I20150724010532 |
| Provider Name | Roshin Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740657311 PECOS PAC ID: 5395055453 Enrollment ID: I20160527001249 |
| Provider Name | Bibi S Ali Mohamed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033588124 PECOS PAC ID: 1456639913 Enrollment ID: I20161103001564 |
| Provider Name | Beena Varughese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417402355 PECOS PAC ID: 3870873110 Enrollment ID: I20161202001965 |
| Provider Name | Su Jung Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649711607 PECOS PAC ID: 3779869391 Enrollment ID: I20170417000052 |
| Provider Name | Fatima Olude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740707975 PECOS PAC ID: 3870855406 Enrollment ID: I20180320001101 |
| Provider Name | Elizabeth Nosier-turenne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841701711 PECOS PAC ID: 6709148000 Enrollment ID: I20180327000766 |
| Provider Name | Zahida Kabir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861807943 PECOS PAC ID: 7315209327 Enrollment ID: I20180402001047 |
| Provider Name | Marjorie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174043491 PECOS PAC ID: 3971868720 Enrollment ID: I20180525000493 |
| Provider Name | Susan Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972041010 PECOS PAC ID: 6305101668 Enrollment ID: I20180607001995 |
| Provider Name | Jasvir Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750878450 PECOS PAC ID: 7315296308 Enrollment ID: I20180824000621 |
| Provider Name | Rosamma Saji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861978561 PECOS PAC ID: 7517217730 Enrollment ID: I20180910002816 |
| Provider Name | Rosanna Paknoush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750880142 PECOS PAC ID: 5294087144 Enrollment ID: I20181004001294 |
| Provider Name | Valentyna Oleksyuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780163790 PECOS PAC ID: 5092068494 Enrollment ID: I20181101002176 |
| Provider Name | Evaline Awuor Obare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881240380 PECOS PAC ID: 8921337098 Enrollment ID: I20190916001160 |
| Provider Name | Dawn Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417504721 PECOS PAC ID: 3577990555 Enrollment ID: I20200304001140 |
| Provider Name | Syed Zaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609415736 PECOS PAC ID: 9436588555 Enrollment ID: I20200410000299 |
| Provider Name | Crystal Nevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801047469 PECOS PAC ID: 0345651949 Enrollment ID: I20201203001841 |
| Provider Name | Latrina M Dubois-hornsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609457332 PECOS PAC ID: 6608276449 Enrollment ID: I20210615002920 |
| Provider Name | Cassandra D Mc Koy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760672950 PECOS PAC ID: 5496159196 Enrollment ID: I20210803000991 |
| Provider Name | Shante Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669072344 PECOS PAC ID: 6507254521 Enrollment ID: I20211025002307 |
| Provider Name | Shreen Pamela Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417218660 PECOS PAC ID: 0244559557 Enrollment ID: I20220111000318 |
| Provider Name | Rujina Munim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265184097 PECOS PAC ID: 1052798204 Enrollment ID: I20220510000822 |
| Provider Name | Herline Raphael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326584046 PECOS PAC ID: 4385911080 Enrollment ID: I20221123002608 |
| Provider Name | Deslene Thomas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962086868 PECOS PAC ID: 4284094020 Enrollment ID: I20230712002134 |
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