| Island Nephrology Services, P.c. | |
|
470 Seaview Ave Staten Island NY 10305-3401 | |
| (718) 987-5940 | |
| (718) 667-9708 |
| Full Name | Island Nephrology Services, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 470 Seaview Ave, Staten Island, New York |
| Authorized Official Name and Position | Lori Guterman (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7188766220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Nephrology Services, P.c. 97 New Dorp Lane Suite A Staten Island NY 10306-2347 Ph: (718) 876-6220 | Island Nephrology Services, P.c. 470 Seaview Ave Staten Island NY 10305-3401 Ph: (718) 987-5940 |
| NPI Number | 1598753253 |
|---|---|
| Provider Enumeration Date | 10/07/2005 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 8729977202 |
|---|---|
| Medicare Enrollment ID | O20040312000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598753253 | NPI | - | NPPES |
| 01619025 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New York) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (New York) | Primary |
| Provider Name | Suzanne E El Sayegh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750370573 PECOS PAC ID: 7719878917 Enrollment ID: I20040324001039 |
| Provider Name | Morton J Kleiner |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437147162 PECOS PAC ID: 9638086531 Enrollment ID: I20040422001331 |
| Provider Name | Militza K Kiroycheva |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861584112 PECOS PAC ID: 5698738755 Enrollment ID: I20041109001013 |
| Provider Name | John Michael Pepe |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013009349 PECOS PAC ID: 5799741633 Enrollment ID: I20041202000860 |
| Provider Name | Farhang F. Ebrahimi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104937796 PECOS PAC ID: 1951492263 Enrollment ID: I20070801000047 |
| Provider Name | Elie J El-charabaty |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164643490 PECOS PAC ID: 6103917596 Enrollment ID: I20070815000006 |
| Provider Name | Edward Mack Epstein |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023202447 PECOS PAC ID: 7113008640 Enrollment ID: I20080122000696 |
| Provider Name | Bryan M Falk |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407938764 PECOS PAC ID: 4082521984 Enrollment ID: I20080825000257 |
| Provider Name | Matthew T Palombini |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568554806 PECOS PAC ID: 4981761301 Enrollment ID: I20090330000079 |
| Provider Name | Michael Meir Goldman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912220666 PECOS PAC ID: 8729265277 Enrollment ID: I20110609000137 |
| Provider Name | Norbert Shtaynberg |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871748103 PECOS PAC ID: 7315124781 Enrollment ID: I20110613000236 |
| Provider Name | Solomon Dalezman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992144646 PECOS PAC ID: 4981968245 Enrollment ID: I20180514002379 |
| Provider Name | Anna S Gutman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1285013698 PECOS PAC ID: 9739425364 Enrollment ID: I20200402001515 |
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