Lasante Health Center Inc | |
672 Parkside Ave 2nd Floor Brooklyn NY 11226-1506 | |
(718) 246-5700 | |
(718) 246-5750 |
Full Name | Lasante Health Center Inc |
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Speciality | Clinic/Center |
Location | 672 Parkside Ave, Brooklyn, New York |
Authorized Official Name and Position | Gedalya Blumenfrucht (CFO) |
Authorized Official Contact | 7182465700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lasante Health Center Inc 672 Parkside Ave 2nd Floor Brooklyn NY 11226-1506 Ph: (718) 246-5700 | Lasante Health Center Inc 672 Parkside Ave 2nd Floor Brooklyn NY 11226-1506 Ph: (718) 246-5700 |
NPI Number | 1740672732 |
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Provider Enumeration Date | 02/27/2015 |
Last Update Date | 10/19/2020 |
Medicare PECOS PAC ID | 6204117872 |
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Medicare Enrollment ID | O20161220001437 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740672732 | NPI | - | NPPES |
Provider Name | Dexter A Mckenzie |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871512574 PECOS PAC ID: 4284637430 Enrollment ID: I20060809000136 |
Provider Name | Emmanuel Valery |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750334157 PECOS PAC ID: 9638216799 Enrollment ID: I20091021000649 |
Provider Name | Hirunnisha Najjar |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1487819231 PECOS PAC ID: 7012169758 Enrollment ID: I20121204000310 |
Provider Name | Ofiong Edet Okon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871998062 PECOS PAC ID: 1658694609 Enrollment ID: I20141223000789 |
Provider Name | Anise Joseph |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1841618808 PECOS PAC ID: 9032491378 Enrollment ID: I20170123001476 |
Provider Name | Anna I Dabbs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972043453 PECOS PAC ID: 8022381870 Enrollment ID: I20170830002109 |
Provider Name | Vanessa K Mostofsky |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568985059 PECOS PAC ID: 1254605504 Enrollment ID: I20170925003309 |
Provider Name | Vivian Elbaz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538635834 PECOS PAC ID: 8123431020 Enrollment ID: I20210114001379 |
Provider Name | Daniel Melmed |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881124675 PECOS PAC ID: 7618384066 Enrollment ID: I20210331000696 |
Provider Name | Eric J Gold |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528528437 PECOS PAC ID: 7810226180 Enrollment ID: I20221229000732 |
Provider Name | Elizabeth Zharovsky |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1356978837 PECOS PAC ID: 8325484074 Enrollment ID: I20240315002889 |
Provider Name | Lila Michelle Bleich |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851042188 PECOS PAC ID: 4587020748 Enrollment ID: I20240419001921 |
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