Lev Yagudayev Physician, Pc | |
14445 87th Ave Briarwood NY 11435-3109 | |
(917) 686-5073 | |
(718) 236-1055 |
Full Name | Lev Yagudayev Physician, Pc |
---|---|
Speciality | Internal Medicine |
Location | 14445 87th Ave, Briarwood, New York |
Authorized Official Name and Position | Lev Yagudayev (OWNER) |
Authorized Official Contact | 9176865073 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lev Yagudayev Physician, Pc 7585 181st St Fresh Meadows NY 11366-1609 Ph: (917) 686-5073 | Lev Yagudayev Physician, Pc 14445 87th Ave Briarwood NY 11435-3109 Ph: (917) 686-5073 |
NPI Number | 1528490026 |
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Provider Enumeration Date | 08/07/2013 |
Last Update Date | 09/26/2023 |
Medicare PECOS PAC ID | 2769612639 |
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Medicare Enrollment ID | O20140221000297 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528490026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 244286 (New York) | Primary |
Provider Name | Lev Yagudayev |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1881885432 PECOS PAC ID: 1658442918 Enrollment ID: I20080616000089 |
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