| Mihail Medvedovsky Physician Pc | |
|
3039 Ocean Pkwy Brooklyn NY 11235-8370 | |
| (718) 946-9070 | |
| Not Available |
| Full Name | Mihail Medvedovsky Physician Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3039 Ocean Pkwy, Brooklyn, New York |
| Authorized Official Name and Position | Mihail Medvedovsky (PRESIDENT) |
| Authorized Official Contact | 7189469070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mihail Medvedovsky Physician Pc 3039 Ocean Pkwy Brooklyn NY 11235-8370 Ph: (718) 946-9070 | Mihail Medvedovsky Physician Pc 3039 Ocean Pkwy Brooklyn NY 11235-8370 Ph: (718) 946-9070 |
| NPI Number | 1942304001 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 06/25/2008 |
| Medicare PECOS PAC ID | 3779474937 |
|---|---|
| Medicare Enrollment ID | O20101203000912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942304001 | NPI | - | NPPES |
| 02156169 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 180598 (New York) | Primary |
| Provider Name | Daniel Eli Beyda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437136579 PECOS PAC ID: 5799698577 Enrollment ID: I20031107000356 |
| Provider Name | Richard M Seldes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023030830 PECOS PAC ID: 3072401231 Enrollment ID: I20040324000102 |
| Provider Name | Vicken Pamoukian |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1174587760 PECOS PAC ID: 3577558733 Enrollment ID: I20040416001230 |
| Provider Name | Jacob Rakhman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285642694 PECOS PAC ID: 6709875396 Enrollment ID: I20040510000257 |
| Provider Name | Mark H Vine |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386668010 PECOS PAC ID: 2466433602 Enrollment ID: I20040525001099 |
| Provider Name | Grigory Shtender |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952316614 PECOS PAC ID: 1850375635 Enrollment ID: I20040617001142 |
| Provider Name | Stephen Rubenstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831267509 PECOS PAC ID: 7719966951 Enrollment ID: I20040720000404 |
| Provider Name | Igor Chernyavskiy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477520245 PECOS PAC ID: 5092795898 Enrollment ID: I20040722000655 |
| Provider Name | Leon A Nitkin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811017916 PECOS PAC ID: 3971556689 Enrollment ID: I20050222000922 |
| Provider Name | Radha Syed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790707263 PECOS PAC ID: 4082668678 Enrollment ID: I20050307000459 |
| Provider Name | Azriel Benaroya |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962445122 PECOS PAC ID: 9234162140 Enrollment ID: I20050912001176 |
| Provider Name | Marc Sherman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528097953 PECOS PAC ID: 7618924309 Enrollment ID: I20051109001148 |
| Provider Name | Morey Klein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245218619 PECOS PAC ID: 8527080852 Enrollment ID: I20051229000451 |
| Provider Name | Yuriy Markhasin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851327928 PECOS PAC ID: 0143241315 Enrollment ID: I20051230000193 |
| Provider Name | Dilip S Doctor |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134291420 PECOS PAC ID: 6305852047 Enrollment ID: I20060303000585 |
| Provider Name | Mira I Sherer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912961616 PECOS PAC ID: 4284641598 Enrollment ID: I20060310000670 |
| Provider Name | Mariya F Tsinis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487673380 PECOS PAC ID: 5395754998 Enrollment ID: I20060410000511 |
| Provider Name | Tanuj Bhatnagar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205918679 PECOS PAC ID: 2163421090 Enrollment ID: I20061204000257 |
| Provider Name | Polina Zaydenberg |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942358528 PECOS PAC ID: 4284737131 Enrollment ID: I20070313000585 |
| Provider Name | Yakov Levy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154481885 PECOS PAC ID: 0143312538 Enrollment ID: I20070815000070 |
| Provider Name | Simon Barkagan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932127271 PECOS PAC ID: 7618064692 Enrollment ID: I20071108000053 |
| Provider Name | David An Moo Rim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467534131 PECOS PAC ID: 9931297363 Enrollment ID: I20071117000134 |
| Provider Name | Janusz Plawner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750301248 PECOS PAC ID: 7214096171 Enrollment ID: I20081106000480 |
| Provider Name | Ninel Platsman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083864011 PECOS PAC ID: 6103983887 Enrollment ID: I20090324000673 |
| Provider Name | Rahman Ilkhanizadeh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750300950 PECOS PAC ID: 6002967742 Enrollment ID: I20090619000350 |
| Provider Name | Nirav S Patel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992951925 PECOS PAC ID: 3678612231 Enrollment ID: I20091120000454 |
| Provider Name | Robert Y Pick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144210097 PECOS PAC ID: 9436173036 Enrollment ID: I20100202000456 |
| Provider Name | Julya A Keselman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881917748 PECOS PAC ID: 0648303982 Enrollment ID: I20100806000167 |
| Provider Name | Alex Bernstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366753410 PECOS PAC ID: 5799809059 Enrollment ID: I20100824000785 |
| Provider Name | David J Fleiss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073690202 PECOS PAC ID: 9931223211 Enrollment ID: I20100824000986 |
| Provider Name | Tatiana Bulanov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982761375 PECOS PAC ID: 9739271909 Enrollment ID: I20101116000929 |
| Provider Name | Latha Thanneer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306927579 PECOS PAC ID: 0547456709 Enrollment ID: I20101130000631 |
| Provider Name | Narmina Dzhafarova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912164849 PECOS PAC ID: 0547459588 Enrollment ID: I20110106000837 |
| Provider Name | Mihail Medvedovsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962408880 PECOS PAC ID: 0244262533 Enrollment ID: I20110214000421 |
| Provider Name | Peter Kingchi Hon |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1487894382 PECOS PAC ID: 7113197310 Enrollment ID: I20110825000505 |
| Provider Name | Olga A Burzyantseva |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104072586 PECOS PAC ID: 7719118322 Enrollment ID: I20140325000862 |
| Provider Name | Eyad Alhaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770698375 PECOS PAC ID: 4981649217 Enrollment ID: I20141024000036 |
| Provider Name | Seth D. Cohen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922249135 PECOS PAC ID: 5294957429 Enrollment ID: I20141104000162 |
| Provider Name | Edward Kleiman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1306073291 PECOS PAC ID: 7810211992 Enrollment ID: I20150120001601 |
| Provider Name | Christopher L Petti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285678169 PECOS PAC ID: 8921039371 Enrollment ID: I20160303001438 |
| Provider Name | Irina Zorenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669912119 PECOS PAC ID: 2567738537 Enrollment ID: I20171018001779 |
| Provider Name | Liliana C.g. Panizza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194244962 PECOS PAC ID: 3779840376 Enrollment ID: I20171207001128 |
| Provider Name | Marlen E Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629543038 PECOS PAC ID: 1355688524 Enrollment ID: I20190125000641 |
| Provider Name | Natalia Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477016145 PECOS PAC ID: 9133553845 Enrollment ID: I20200107001330 |
| Provider Name | Alena Pazniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669005104 PECOS PAC ID: 6103243225 Enrollment ID: I20200903000274 |
| Provider Name | Anna Kazakova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386902690 PECOS PAC ID: 6507284080 Enrollment ID: I20200915002824 |
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