| Manana Petrov Primary Medical Care, Pc | |
|
353 Ocean Avenue Brooklyn NY 11226-1308 | |
| (718) 850-6345 | |
| (718) 559-4895 |
| Full Name | Manana Petrov Primary Medical Care, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 353 Ocean Avenue, Brooklyn, New York |
| Authorized Official Name and Position | Manana Petrov (DIRECTOR) |
| Authorized Official Contact | 7188506345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manana Petrov Primary Medical Care, Pc 353 Ocean Avenue Brooklyn NY 11226-1308 Ph: (718) 940-2100 | Manana Petrov Primary Medical Care, Pc 353 Ocean Avenue Brooklyn NY 11226-1308 Ph: (718) 850-6345 |
| NPI Number | 1508017062 |
|---|---|
| Provider Enumeration Date | 10/02/2008 |
| Last Update Date | 01/12/2009 |
| Medicare PECOS PAC ID | 3870576150 |
|---|---|
| Medicare Enrollment ID | O20090220000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508017062 | NPI | - | NPPES |
| Provider Name | Manana Petrov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881620227 PECOS PAC ID: 6305828443 Enrollment ID: I20040603000138 |
| Provider Name | Sarath Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558334078 PECOS PAC ID: 5698792273 Enrollment ID: I20051102000372 |
| Provider Name | Cesar E Ayala Rodriguez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104156728 PECOS PAC ID: 6901095819 Enrollment ID: I20110107000508 |
| Provider Name | Joan Alexandra Borromeo Torralba |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952604175 PECOS PAC ID: 0042454100 Enrollment ID: I20130912000014 |
| Provider Name | Pankaj Khullar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497035588 PECOS PAC ID: 9537421961 Enrollment ID: I20180326000244 |
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