| Lebgutt Medical Of Brooklyn Pc | |
|
2555 Nostrand Ave Brooklyn NY 11210-4730 | |
| (718) 951-8800 | |
| (718) 951-0846 |
| Full Name | Lebgutt Medical Of Brooklyn Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2555 Nostrand Ave, Brooklyn, New York |
| Authorized Official Name and Position | George Giannikas (OWNER) |
| Authorized Official Contact | 7189518800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lebgutt Medical Of Brooklyn Pc 2555 Nostrand Ave Brooklyn NY 11210-4730 Ph: (718) 951-8800 | Lebgutt Medical Of Brooklyn Pc 2555 Nostrand Ave Brooklyn NY 11210-4730 Ph: (718) 951-8800 |
| NPI Number | 1184070625 |
|---|---|
| Provider Enumeration Date | 05/13/2016 |
| Last Update Date | 05/13/2016 |
| Medicare PECOS PAC ID | 7315358413 |
|---|---|
| Medicare Enrollment ID | O20201120002012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184070625 | NPI | - | NPPES |
| 157526-1 | Other | NY | LICENSE# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 157526-1 (New York) | Primary |
| Provider Name | William Fonfeder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568534964 PECOS PAC ID: 2961394283 Enrollment ID: I20040329001803 |
| Provider Name | Rochel Fishman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497844815 PECOS PAC ID: 4981691334 Enrollment ID: I20040427001708 |
| Provider Name | Papanna Ravichandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275602096 PECOS PAC ID: 6507855665 Enrollment ID: I20040512000654 |
| Provider Name | Uriel Levi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114027182 PECOS PAC ID: 2466435615 Enrollment ID: I20040609001354 |
| Provider Name | Frank S Segreto |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669489555 PECOS PAC ID: 2961460498 Enrollment ID: I20050104000546 |
| Provider Name | Morey Klein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245218619 PECOS PAC ID: 8527080852 Enrollment ID: I20051229000451 |
| Provider Name | Brian Hoch |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215049325 PECOS PAC ID: 2769496892 Enrollment ID: I20060127000587 |
| Provider Name | Lee H Trosterman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609824937 PECOS PAC ID: 5092729707 Enrollment ID: I20060202000238 |
| Provider Name | Olga Gomez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396836169 PECOS PAC ID: 4385659218 Enrollment ID: I20060214000736 |
| Provider Name | Jennet Sarmiento |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275694465 PECOS PAC ID: 1355446295 Enrollment ID: I20070420000312 |
| Provider Name | Nancy H Abdel-wahab |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639207350 PECOS PAC ID: 7113024639 Enrollment ID: I20090416000500 |
| Provider Name | Joseph Vitoulis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154402030 PECOS PAC ID: 1153475090 Enrollment ID: I20090812000448 |
| Provider Name | Yan Yusupov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295977973 PECOS PAC ID: 6305991001 Enrollment ID: I20090902000002 |
| Provider Name | Igor Mirzadzhanov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578629655 PECOS PAC ID: 6507902400 Enrollment ID: I20091007000237 |
| Provider Name | Yahaya A Nauzo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598854150 PECOS PAC ID: 0244429751 Enrollment ID: I20110114000468 |
| Provider Name | Jeffrey S Smoller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356433536 PECOS PAC ID: 8628250594 Enrollment ID: I20110314000825 |
| Provider Name | Azriel Hirschfeld |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043240336 PECOS PAC ID: 5294754552 Enrollment ID: I20110720000184 |
| Provider Name | Feliks Tabenshlak |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053688796 PECOS PAC ID: 7416114087 Enrollment ID: I20120209000325 |
| Provider Name | Zev Carrey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922075415 PECOS PAC ID: 8022276922 Enrollment ID: I20120223000490 |
| Provider Name | Yingang Zheng |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346471786 PECOS PAC ID: 3173664265 Enrollment ID: I20130208000412 |
| Provider Name | Tashunda Davis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316159353 PECOS PAC ID: 3072750025 Enrollment ID: I20130510000107 |
| Provider Name | Rachel R Fried |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922447077 PECOS PAC ID: 4981846177 Enrollment ID: I20130823000002 |
| Provider Name | Michael Adler |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043408719 PECOS PAC ID: 5193886125 Enrollment ID: I20140314000580 |
| Provider Name | Andrea Schulman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093132953 PECOS PAC ID: 7416258686 Enrollment ID: I20151211000958 |
| Provider Name | Jean Brutus |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952780538 PECOS PAC ID: 8628358397 Enrollment ID: I20161215001042 |
| Provider Name | Robert C Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619412012 PECOS PAC ID: 4789969833 Enrollment ID: I20170403000367 |
| Provider Name | Polina Zilbert |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558878637 PECOS PAC ID: 0446684195 Enrollment ID: I20200106000885 |
| Provider Name | Thuy-trang Thi Pham |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760839658 PECOS PAC ID: 6204267602 Enrollment ID: I20200520000248 |
| Provider Name | Chang Kim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902330400 PECOS PAC ID: 9133535263 Enrollment ID: I20210315001908 |
| Provider Name | Romi Grover Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083149363 PECOS PAC ID: 9830599026 Enrollment ID: I20210609002042 |
| Provider Name | Leon Sultan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629291612 PECOS PAC ID: 0749682854 Enrollment ID: I20210713000522 |
| Provider Name | Dorit Shadrouz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033789714 PECOS PAC ID: 0941603591 Enrollment ID: I20210720003827 |
| Provider Name | Abraham Eisenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619642287 PECOS PAC ID: 7911303060 Enrollment ID: I20210915000842 |
| Provider Name | Rukayat Adebusola Ladotun |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356099709 PECOS PAC ID: 2264829456 Enrollment ID: I20220418000443 |
| Provider Name | Yair Fakheri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356908768 PECOS PAC ID: 7416333240 Enrollment ID: I20221003001255 |
| Provider Name | Jacqueline T Hartono |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942936778 PECOS PAC ID: 8224414057 Enrollment ID: I20221003001297 |
| Provider Name | Anna Bianca Dolan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407508898 PECOS PAC ID: 6002282209 Enrollment ID: I20221012003364 |
| Provider Name | James Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023558764 PECOS PAC ID: 7113396417 Enrollment ID: I20221208001028 |
| Provider Name | Kristin Gebauer-wirtz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194450312 PECOS PAC ID: 3476923236 Enrollment ID: I20230112001095 |
| Provider Name | Anzhelika Ihnatenko |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235840018 PECOS PAC ID: 2567832983 Enrollment ID: I20230627002333 |
| Provider Name | Adrian M Elias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871155036 PECOS PAC ID: 9234587577 Enrollment ID: I20231128001740 |
| Provider Name | Shmuel Yitzchak Bieler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447017157 PECOS PAC ID: 1557700572 Enrollment ID: I20240423002546 |
American Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 Rockaway Ave, Brooklyn, NY 11212 Phone: 718-346-2628 Fax: 718-346-9381 | |
Refua Shlema Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 499 Crown St, Brooklyn, NY 11213 Phone: 347-614-1717 | |
University Physicians Of Brooklyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Clarkson Ave, Suite A, Brooklyn, NY 11203 Phone: 718-270-1112 Fax: 718-270-3170 | |
Sikder Medical Care P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 504 Mcdonald Ave, Brooklyn, NY 11218 Phone: 917-442-1797 Fax: 718-732-0783 | |
Flatbush Medical Plaza, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1468 Flatbush Ave., Brooklyn, NY 11210 Phone: 917-966-2700 Fax: 917-966-2703 | |
Rds Medical P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7510 4th Ave, Ste 5, Brooklyn, NY 11209 Phone: 718-836-0761 Fax: 718-836-7369 | |
Brooks Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5014 Beverley Rd, Brooklyn, NY 11203 Phone: 718-241-0182 Fax: 718-451-2517 |