| Irina Vilenskaya Md Pc | |
|
127 Pavilion Ave Long Branch NJ 07740-6415 | |
| (732) 222-1133 | |
| (732) 222-9345 |
| Full Name | Irina Vilenskaya Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 127 Pavilion Ave, Long Branch, New Jersey |
| Authorized Official Name and Position | Irina Vilenskaya (OWNER) |
| Authorized Official Contact | 7322221133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irina Vilenskaya Md Pc 127 Pavilion Ave Long Branch NJ 07740-6415 Ph: (732) 222-1133 | Irina Vilenskaya Md Pc 127 Pavilion Ave Long Branch NJ 07740-6415 Ph: (732) 222-1133 |
| NPI Number | 1972767747 |
|---|---|
| Provider Enumeration Date | 07/10/2008 |
| Last Update Date | 07/10/2008 |
| Medicare PECOS PAC ID | 6507994555 |
|---|---|
| Medicare Enrollment ID | O20100512000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972767747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Irina Vilenskaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518064567 PECOS PAC ID: 7012045073 Enrollment ID: I20100512000726 |
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