Modern Medical Care Pc | |
312 Neptune Ave Brooklyn NY 11235-6875 | |
(718) 934-7593 | |
(718) 891-2636 |
Full Name | Modern Medical Care Pc |
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Speciality | Family Medicine |
Location | 312 Neptune Ave, Brooklyn, New York |
Authorized Official Name and Position | Aleksandr Orlovskiy (OWNER) |
Authorized Official Contact | 7189347593 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Modern Medical Care Pc 9602 4th Ave Apt 6n Brooklyn NY 11209-7851 Ph: (718) 934-7593 | Modern Medical Care Pc 312 Neptune Ave Brooklyn NY 11235-6875 Ph: (718) 934-7593 |
NPI Number | 1417258161 |
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Provider Enumeration Date | 11/11/2010 |
Last Update Date | 11/23/2010 |
Medicare PECOS PAC ID | 8224219860 |
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Medicare Enrollment ID | O20110302000189 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417258161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 090829 (New York) | Primary |
Provider Name | Klaudiya Ruvinsky |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649275918 PECOS PAC ID: 9638072697 Enrollment ID: I20040128000941 |
Provider Name | Mohamed K Rahman |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1942244348 PECOS PAC ID: 4183643794 Enrollment ID: I20051114000240 |
Provider Name | Aleksandr Orlovskiy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457501447 PECOS PAC ID: 5092874651 Enrollment ID: I20081111000683 |
Provider Name | Zukhra Shukurova |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265764260 PECOS PAC ID: 1557494366 Enrollment ID: I20100730000493 |
Provider Name | Alex Natanzon |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1467613281 PECOS PAC ID: 8921131699 Enrollment ID: I20100802000361 |
Provider Name | Tatyana Ingberman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962407106 PECOS PAC ID: 4183667314 Enrollment ID: I20101004001189 |
Provider Name | Oksana Bolson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275804973 PECOS PAC ID: 6800056326 Enrollment ID: I20120321000002 |
Provider Name | Alina Boshakova |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356656763 PECOS PAC ID: 1658565346 Enrollment ID: I20131028000075 |
Provider Name | Marina Fest |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285020842 PECOS PAC ID: 2466751508 Enrollment ID: I20160708001569 |
Provider Name | Nadire Dzhalturova |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1124467444 PECOS PAC ID: 5991084402 Enrollment ID: I20161123001794 |
Provider Name | Katerina Safonova |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528568011 PECOS PAC ID: 2567712995 Enrollment ID: I20180906000883 |
Provider Name | Yeseniya Kamynina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740789718 PECOS PAC ID: 6901159409 Enrollment ID: I20181031000868 |
Provider Name | Liubou Uslar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225492002 PECOS PAC ID: 4789920018 Enrollment ID: I20190925002671 |
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