M2 Medical Community Practice, P.c. | |
4802 10th Ave Brooklyn NY 11219-2916 | |
(718) 283-6000 | |
Not Available |
Full Name | M2 Medical Community Practice, P.c. |
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Speciality | Internal Medicine |
Location | 4802 10th Ave, Brooklyn, New York |
Authorized Official Name and Position | David Cohen (EXECUTIVE VP) |
Authorized Official Contact | 7182836392 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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M2 Medical Community Practice, P.c. 4802 10th Ave Executive Office Brooklyn NY 11219-2916 Ph: (718) 283-6392 | M2 Medical Community Practice, P.c. 4802 10th Ave Brooklyn NY 11219-2916 Ph: (718) 283-6000 |
NPI Number | 1114320397 |
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Provider Enumeration Date | 10/02/2014 |
Last Update Date | 10/02/2014 |
Medicare PECOS PAC ID | 3779884499 |
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Medicare Enrollment ID | O20151222000362 |
Identifier | Type | State | Issuer |
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1114320397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Provider Name | Rameen M Miarrostami |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497734743 PECOS PAC ID: 5991696411 Enrollment ID: I20040323001839 |
Provider Name | Sadhis Rivas |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1659445427 PECOS PAC ID: 0840281317 Enrollment ID: I20040522000008 |
Provider Name | Charles G. Marchese |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1417061854 PECOS PAC ID: 6709959257 Enrollment ID: I20080717000332 |
Provider Name | Faina Shnaydman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477701068 PECOS PAC ID: 2567522956 Enrollment ID: I20081114000395 |
Provider Name | Karina Adler |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386894749 PECOS PAC ID: 9335206580 Enrollment ID: I20090316000436 |
Provider Name | Zukhra Shukurova |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265764260 PECOS PAC ID: 1557494366 Enrollment ID: I20100730000493 |
Provider Name | Marie Dejoie Robinson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558409144 PECOS PAC ID: 0446432702 Enrollment ID: I20110308000104 |
Provider Name | Filza Sultan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447621503 PECOS PAC ID: 9830471366 Enrollment ID: I20170118001701 |
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