| Maimonides Medical Center Metabolic Support Services | |
|
4802 10th Ave Brooklyn NY 11219-2916 | |
| (718) 283-8773 | |
| Not Available |
| Full Name | Maimonides Medical Center Metabolic Support Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 4802 10th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Martin Camer (DIRECTOR) |
| Authorized Official Contact | 7182838773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maimonides Medical Center Metabolic Support Services Gpo 27369 New York NY 10087-7369 Ph: () - | Maimonides Medical Center Metabolic Support Services 4802 10th Ave Brooklyn NY 11219-2916 Ph: (718) 283-8773 |
| NPI Number | 1164536306 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/01/2013 |
| Medicare PECOS PAC ID | 4587626437 |
|---|---|
| Medicare Enrollment ID | O20041102000861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164536306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Elie Hamaoui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598759508 PECOS PAC ID: 3476515339 Enrollment ID: I20041110000856 |
| Provider Name | Yanina Greyf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174557136 PECOS PAC ID: 3870503923 Enrollment ID: I20060503000590 |
| Provider Name | Kashan Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235438490 PECOS PAC ID: 8921224916 Enrollment ID: I20140729000006 |
| Provider Name | Paulina P Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760810840 PECOS PAC ID: 5395046015 Enrollment ID: I20151222000457 |
| Provider Name | Linda Luciano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356798169 PECOS PAC ID: 9931451358 Enrollment ID: I20181015000106 |
| Provider Name | Antigone Christos Hatzimihalis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609134717 PECOS PAC ID: 8729413059 Enrollment ID: I20200115001019 |
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