| Medical Home Visits Of Ny Pc | |
|
10615 Queens Blvd Unit B15 Forest Hills NY 11375-4301 | |
| (917) 789-6963 | |
| Not Available |
| Full Name | Medical Home Visits Of Ny Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10615 Queens Blvd Unit B15, Forest Hills, New York |
| Authorized Official Name and Position | Vyachislav Abayev (MD) |
| Authorized Official Contact | 9173635223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Home Visits Of Ny Pc 10615 Queens Blvd Unit B15 Forest Hills NY 11375-4301 Ph: (917) 789-6963 | Medical Home Visits Of Ny Pc 10615 Queens Blvd Unit B15 Forest Hills NY 11375-4301 Ph: (917) 789-6963 |
| NPI Number | 1821503434 |
|---|---|
| Provider Enumeration Date | 12/05/2017 |
| Last Update Date | 01/02/2018 |
| Medicare PECOS PAC ID | 4981965290 |
|---|---|
| Medicare Enrollment ID | O20180301001999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821503434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 251705 (New York) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 251705 (New York) | Primary |
| Provider Name | Edward Stanley Pineles |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144204215 PECOS PAC ID: 6709814817 Enrollment ID: I20050730000066 |
| Provider Name | Vyachislav Abayev |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437394574 PECOS PAC ID: 3375792450 Enrollment ID: I20121004000611 |
| Provider Name | Rosita Cadalin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912354051 PECOS PAC ID: 9436432176 Enrollment ID: I20170203001187 |
| Provider Name | Svetlana Karshigeyeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558860395 PECOS PAC ID: 7810251873 Enrollment ID: I20180430000937 |
| Provider Name | Ian A Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639682990 PECOS PAC ID: 1254678238 Enrollment ID: I20190129002678 |
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