| Maimonides Medical Center - Mmc Gastroenterology Fpp | |
|
4802 10th Ave Brooklyn NY 11219-2916 | |
| (718) 283-8773 | |
| Not Available |
| Full Name | Maimonides Medical Center - Mmc Gastroenterology Fpp |
|---|---|
| Speciality | Internal Medicine |
| Location | 4802 10th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Edgar Lichstein (DEPARTMENT CHAIR) |
| 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 Gastroenterology Fpp Gpo Box 27641 New York NY 10087-7641 Ph: () - | Maimonides Medical Center - Mmc Gastroenterology Fpp 4802 10th Ave Brooklyn NY 11219-2916 Ph: (718) 283-8773 |
| NPI Number | 1932216660 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 02/13/2013 |
| Medicare PECOS PAC ID | 4981595055 |
|---|---|
| Medicare Enrollment ID | O20040320000522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932216660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Seth Lapin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427042613 PECOS PAC ID: 5294624235 Enrollment ID: I20040315001106 |
| Provider Name | Jianjun Li |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437171683 PECOS PAC ID: 5395700249 Enrollment ID: I20041119000960 |
| Provider Name | Elliott Fuhrer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801812490 PECOS PAC ID: 8820053218 Enrollment ID: I20041124000628 |
| Provider Name | Aaron Z Tokayer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336220755 PECOS PAC ID: 9032161070 Enrollment ID: I20050217000529 |
| Provider Name | Joel I Albert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396732384 PECOS PAC ID: 7315974193 Enrollment ID: I20050722000912 |
| Provider Name | Yitzchak Moshenyat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528012259 PECOS PAC ID: 0941227292 Enrollment ID: I20051026001073 |
| Provider Name | Ira Mayer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962561050 PECOS PAC ID: 8426150418 Enrollment ID: I20070221000629 |
| Provider Name | Jonathan Erber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730386657 PECOS PAC ID: 7214008580 Enrollment ID: I20080612000902 |
| Provider Name | Nison L Badalov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417141664 PECOS PAC ID: 0446315584 Enrollment ID: I20090224000496 |
| Provider Name | James Park |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073713772 PECOS PAC ID: 6103974472 Enrollment ID: I20090427000318 |
| Provider Name | Hui Hing Tin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629261722 PECOS PAC ID: 5395897300 Enrollment ID: I20090722000015 |
| Provider Name | Yuriy Tsirlin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659570323 PECOS PAC ID: 5193877108 Enrollment ID: I20090722000030 |
| Provider Name | Robert Kodsi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710979158 PECOS PAC ID: 1153479902 Enrollment ID: I20110321000128 |
| Provider Name | Rabin B Rahmani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457514044 PECOS PAC ID: 7810175601 Enrollment ID: I20110627000255 |
| Provider Name | Dmitriy O Khodorskiy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689803736 PECOS PAC ID: 3274781927 Enrollment ID: I20120921000188 |
| Provider Name | Michael G Kantrowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790913754 PECOS PAC ID: 0244464543 Enrollment ID: I20130927000265 |
| Provider Name | Kevin Tin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174812044 PECOS PAC ID: 9830415728 Enrollment ID: I20150312001295 |
| Provider Name | Negar Niknam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922400092 PECOS PAC ID: 9335493527 Enrollment ID: I20190709002762 |
| Provider Name | Ron Porat Jankelson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669005690 PECOS PAC ID: 8820416415 Enrollment ID: I20200914002306 |
| Provider Name | Ben Da |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174866040 PECOS PAC ID: 4385939081 Enrollment ID: I20201015003219 |
| Provider Name | Linda Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639155294 PECOS PAC ID: 4789623430 Enrollment ID: I20220111001711 |
| Provider Name | Anthony Kalloo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881638153 PECOS PAC ID: 2264562503 Enrollment ID: I20220518001805 |
| Provider Name | Manol Jovani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144794496 PECOS PAC ID: 8224433073 Enrollment ID: I20221025000232 |
| Provider Name | Yasutoshi Shiratori |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518651397 PECOS PAC ID: 1052774643 Enrollment ID: I20230830000982 |
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