| Maimonides Medical Center - Mmc Division Of Geriatric Medicine Fpp | |
|
4802 10th Ave Brooklyn NY 11219-2916 | |
| (718) 283-8773 | |
| Not Available |
| Full Name | Maimonides Medical Center - Mmc Division Of Geriatric Medicine Fpp |
|---|---|
| Speciality | Internal Medicine |
| Location | 4802 10th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Barbara Paris (DIVISION HEAD) |
| 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 - Mmc Division Of Geriatric Medicine Fpp Gpo Box 27634 New York NY 10087-7634 Ph: () - | Maimonides Medical Center - Mmc Division Of Geriatric Medicine Fpp 4802 10th Ave Brooklyn NY 11219-2916 Ph: (718) 283-8773 |
| NPI Number | 1831203132 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9739256223 |
|---|---|
| Medicare Enrollment ID | O20080925000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831203132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer B Breznay |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1942237599 PECOS PAC ID: 6507949468 Enrollment ID: I20080215000145 |
| Provider Name | Debra Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619928678 PECOS PAC ID: 7315014065 Enrollment ID: I20080922000297 |
| Provider Name | Sergey I Genkin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1942268701 PECOS PAC ID: 6608944756 Enrollment ID: I20081003000005 |
| Provider Name | Salwa M Gerges |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1336109701 PECOS PAC ID: 3971669003 Enrollment ID: I20090225000557 |
| Provider Name | Janine S Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407912694 PECOS PAC ID: 7315095817 Enrollment ID: I20090511000003 |
| Provider Name | Velko Voynov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578782108 PECOS PAC ID: 3274683099 Enrollment ID: I20090616000499 |
| Provider Name | Jane Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770854689 PECOS PAC ID: 7719138676 Enrollment ID: I20121127000462 |
| Provider Name | Natalie Alexandra Marks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942528724 PECOS PAC ID: 2860634722 Enrollment ID: I20130806000713 |
| Provider Name | Michael Marcelin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053709691 PECOS PAC ID: 5597050658 Enrollment ID: I20160829001229 |
| Provider Name | Gerard J Casale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265881213 PECOS PAC ID: 8729372933 Enrollment ID: I20211102002595 |
| Provider Name | Kristen Mallon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972059574 PECOS PAC ID: 6204229586 Enrollment ID: I20220209000938 |
| Provider Name | Paul Treybich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841789609 PECOS PAC ID: 5890033450 Enrollment ID: I20220906000382 |
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