| Lwhmedical Pc | |
|
1811 Hone Ave Bronx NY 10461-1406 | |
| (718) 518-1133 | |
| (718) 518-1244 |
| Full Name | Lwhmedical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1811 Hone Ave, Bronx, New York |
| Authorized Official Name and Position | Larisa Shpitalnik (OWNER) |
| Authorized Official Contact | 7185181133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lwhmedical Pc 1811 Hone Ave Bronx NY 10461-1406 Ph: (718) 518-1133 | Lwhmedical Pc 1811 Hone Ave Bronx NY 10461-1406 Ph: (718) 518-1133 |
| NPI Number | 1184968232 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Medicare PECOS PAC ID | 0941455976 |
|---|---|
| Medicare Enrollment ID | O20130225000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184968232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 252168-1 (New York) | Primary |
| Provider Name | Khaled Omar Elbanna |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1790733210 PECOS PAC ID: 9931191202 Enrollment ID: I20040330001007 |
| Provider Name | Gabriela Rosas Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316148265 PECOS PAC ID: 9638268410 Enrollment ID: I20071130000542 |
| Provider Name | Sandra N Pascal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205097706 PECOS PAC ID: 1254495260 Enrollment ID: I20090205000174 |
| Provider Name | Emmanuel N Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497856728 PECOS PAC ID: 9830160704 Enrollment ID: I20090609000332 |
| Provider Name | Larisa Shpitalnik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689839979 PECOS PAC ID: 4587716683 Enrollment ID: I20090721000631 |
| Provider Name | Elizabeth M Musto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275668055 PECOS PAC ID: 8426238205 Enrollment ID: I20110210001098 |
| Provider Name | Sandy Marie Weekes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316221237 PECOS PAC ID: 6406003045 Enrollment ID: I20120904000404 |
| Provider Name | Nauman Azhar Piracha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275760886 PECOS PAC ID: 1355575747 Enrollment ID: I20131018001328 |
| Provider Name | Jean Charles Gaspard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295124840 PECOS PAC ID: 8426377144 Enrollment ID: I20150501000068 |
| Provider Name | Alex Yazhbin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922236553 PECOS PAC ID: 3375835200 Enrollment ID: I20160713000620 |
| Provider Name | Norman Moore |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1386960664 PECOS PAC ID: 5597038737 Enrollment ID: I20170908003004 |
| Provider Name | Hyung Sook Paik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528587706 PECOS PAC ID: 3072888437 Enrollment ID: I20171011000842 |
| Provider Name | Yvonne B Minott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649239955 PECOS PAC ID: 2163746041 Enrollment ID: I20171229000779 |
| Provider Name | Ixel Cervera |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1801239090 PECOS PAC ID: 7416216841 Enrollment ID: I20180110003287 |
| Provider Name | Rachel Lipschitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306378609 PECOS PAC ID: 0749540284 Enrollment ID: I20180207000320 |
| Provider Name | Kathleen A Berger |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1427371764 PECOS PAC ID: 8022362623 Enrollment ID: I20181119000678 |
| Provider Name | Alexander Yurkiw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669884573 PECOS PAC ID: 6103195599 Enrollment ID: I20181213001374 |
| Provider Name | Bekim Hajrizi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558829184 PECOS PAC ID: 9638419732 Enrollment ID: I20190328000756 |
| Provider Name | Daniel C Tamea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245792860 PECOS PAC ID: 4082940630 Enrollment ID: I20190719002332 |
| Provider Name | Ojinika L Ikedilo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902186497 PECOS PAC ID: 4486982162 Enrollment ID: I20190819002918 |
| Provider Name | Leah A Schiffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326068594 PECOS PAC ID: 1759718133 Enrollment ID: I20200225000372 |
| Provider Name | Viktorya Snkhchyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811537467 PECOS PAC ID: 2466882675 Enrollment ID: I20200430000367 |
| Provider Name | Nafiz Karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588194393 PECOS PAC ID: 9830437284 Enrollment ID: I20201230001056 |
| Provider Name | Cassandra Filcidor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215526835 PECOS PAC ID: 3779992524 Enrollment ID: I20210506001429 |
| Provider Name | Megha Sampat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417571779 PECOS PAC ID: 9436568961 Enrollment ID: I20210512002297 |
| Provider Name | Natalie A Fadis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538774195 PECOS PAC ID: 6204237266 Enrollment ID: I20210628002789 |
| Provider Name | Matthew John Krieger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447854328 PECOS PAC ID: 8921401811 Enrollment ID: I20210729003215 |
| Provider Name | Ameenat O Alao |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1639733066 PECOS PAC ID: 3577952258 Enrollment ID: I20211118001372 |
| Provider Name | Nicholas R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043943541 PECOS PAC ID: 1658651187 Enrollment ID: I20220912000362 |
| Provider Name | Ochuko Iboyitie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154014017 PECOS PAC ID: 2668832031 Enrollment ID: I20230717002471 |
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