Mill Basin Medical Health Pc | |
1583 E 66th St Fl 1 Brooklyn NY 11234-6005 | |
(917) 318-4724 | |
Not Available |
Full Name | Mill Basin Medical Health Pc |
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Speciality | Internal Medicine |
Location | 1583 E 66th St Fl 1, Brooklyn, New York |
Authorized Official Name and Position | Mayer Spilman (CEO) |
Authorized Official Contact | 6462691508 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mill Basin Medical Health Pc 1583 E 66th St Fl 1 Brooklyn NY 11234-6005 Ph: (917) 318-4724 | Mill Basin Medical Health Pc 1583 E 66th St Fl 1 Brooklyn NY 11234-6005 Ph: (917) 318-4724 |
NPI Number | 1346006202 |
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Provider Enumeration Date | 02/27/2024 |
Last Update Date | 02/27/2024 |
Medicare PECOS PAC ID | 9133566128 |
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Medicare Enrollment ID | O20240326003311 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346006202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Secondary |
Provider Name | Dawn C Lawyer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962481069 PECOS PAC ID: 3072537661 Enrollment ID: I20060123000439 |
Provider Name | Jennifer L Maher |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902845159 PECOS PAC ID: 5395766901 Enrollment ID: I20061006000033 |
Provider Name | Sudershan Kumar Dang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942306238 PECOS PAC ID: 0648350934 Enrollment ID: I20110210001065 |
Provider Name | Ruby Barclay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124371521 PECOS PAC ID: 1355664293 Enrollment ID: I20141229000184 |
Provider Name | Tharon Holmberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871741785 PECOS PAC ID: 0749357341 Enrollment ID: I20161010000866 |
Provider Name | Bhupinderjit Singh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225490956 PECOS PAC ID: 5092003665 Enrollment ID: I20161013002379 |
Provider Name | Anne-margaret Wise |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235683871 PECOS PAC ID: 4486942869 Enrollment ID: I20161018002050 |
Provider Name | Jennifer L Mastropietro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528581915 PECOS PAC ID: 4486926458 Enrollment ID: I20170825001570 |
Provider Name | Amanda J Pratt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639695893 PECOS PAC ID: 8729345137 Enrollment ID: I20171120001236 |
Provider Name | Esther Romilus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073954897 PECOS PAC ID: 3779848692 Enrollment ID: I20180524001317 |
Provider Name | Maykol G Alarcon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598265613 PECOS PAC ID: 1557626967 Enrollment ID: I20180605001708 |
Provider Name | Valentyna Oleksyuk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780163790 PECOS PAC ID: 5092068494 Enrollment ID: I20181101002176 |
Provider Name | Idir Saradouni |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457865974 PECOS PAC ID: 0749430221 Enrollment ID: I20190708001271 |
Provider Name | Megan E Solimano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346848058 PECOS PAC ID: 7012329667 Enrollment ID: I20201223002148 |
Provider Name | Renee Shafer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609444330 PECOS PAC ID: 3173920279 Enrollment ID: I20210915003462 |
Provider Name | Tamieka T Allison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104594274 PECOS PAC ID: 7315336674 Enrollment ID: I20211109000103 |
Provider Name | Carrie J Wynn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437591757 PECOS PAC ID: 5890183206 Enrollment ID: I20211115001751 |
Provider Name | Leah Terry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750847976 PECOS PAC ID: 9436490596 Enrollment ID: I20220512001863 |
Provider Name | Jessica Notte |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285026997 PECOS PAC ID: 9436479631 Enrollment ID: I20220715001905 |
Provider Name | Md Abul Hussain |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417680240 PECOS PAC ID: 1850762477 Enrollment ID: I20230118002389 |
Provider Name | Amy Splawska |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023306867 PECOS PAC ID: 8921278052 Enrollment ID: I20230213001299 |
Provider Name | Carlos La Cotera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720702830 PECOS PAC ID: 5991178279 Enrollment ID: I20230307003086 |
Provider Name | Nicole Gilbert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184330441 PECOS PAC ID: 1658745815 Enrollment ID: I20230330000363 |
Provider Name | Gloria Strader |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356040950 PECOS PAC ID: 8123485208 Enrollment ID: I20230605002752 |
Provider Name | Jennifer E Malheiros |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407350721 PECOS PAC ID: 4082069166 Enrollment ID: I20231010000658 |
Provider Name | Maksuda Hossain |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730868548 PECOS PAC ID: 7618322744 Enrollment ID: I20231010003085 |
Provider Name | Shraddha Lohani |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1144965211 PECOS PAC ID: 5092161562 Enrollment ID: I20231020000321 |
Provider Name | Yehudis Lovett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801514732 PECOS PAC ID: 6103273941 Enrollment ID: I20231115002824 |
Provider Name | Kaitlin Ann Mckinley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427824622 PECOS PAC ID: 2264883487 Enrollment ID: I20240111002451 |
Provider Name | Farjana Nasrin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912772443 PECOS PAC ID: 9133571110 Enrollment ID: I20240115001737 |
Provider Name | Md Khadimul Islam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043082951 PECOS PAC ID: 7315399219 Enrollment ID: I20240116003807 |
Provider Name | Ummul Wara Masud |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376222968 PECOS PAC ID: 0840642476 Enrollment ID: I20240119001339 |
Provider Name | Karen Ross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245873959 PECOS PAC ID: 0648606756 Enrollment ID: I20240212002962 |
Provider Name | Kazi Akhter |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396515219 PECOS PAC ID: 4284070384 Enrollment ID: I20240312001364 |
Provider Name | Tasnuva Nuhat Shafin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497436745 PECOS PAC ID: 2860838547 Enrollment ID: I20240316000177 |
Provider Name | Fardin A Hyderi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275396582 PECOS PAC ID: 0345687422 Enrollment ID: I20240325003126 |
Provider Name | Fahmina Quader |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407611072 PECOS PAC ID: 8224476908 Enrollment ID: I20240401000328 |
Provider Name | John T Williams |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023637964 PECOS PAC ID: 6406207869 Enrollment ID: I20240429001661 |
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