| Modern Medical Pc | |
|
225 Broadway Ste 1420 New York NY 10007-3771 | |
| (212) 571-5000 | |
| (212) 571-5001 |
| Full Name | Modern Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 225 Broadway Ste 1420, New York, New York |
| Authorized Official Name and Position | Ilya Kleyn (MD) |
| Authorized Official Contact | 2125715000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Medical Pc 225 Broadway Ste 1420 New York NY 10007-3771 Ph: (212) 571-5000 | Modern Medical Pc 225 Broadway Ste 1420 New York NY 10007-3771 Ph: (212) 571-5000 |
| NPI Number | 1417057951 |
|---|---|
| Provider Enumeration Date | 09/24/2006 |
| Last Update Date | 04/08/2008 |
| Medicare PECOS PAC ID | 2769458090 |
|---|---|
| Medicare Enrollment ID | O20040908000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417057951 | NPI | - | NPPES |
| 02091596 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 215006 (New York) | Primary |
| Provider Name | Deepika Bajaj |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679671333 PECOS PAC ID: 4385636182 Enrollment ID: I20040401000377 |
| Provider Name | Clifford Beinart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396701678 PECOS PAC ID: 9830187277 Enrollment ID: I20040504000820 |
| Provider Name | Ilya Kleyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851327092 PECOS PAC ID: 5890777304 Enrollment ID: I20040607000834 |
| Provider Name | Konstantin Pertsovsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306876602 PECOS PAC ID: 3375516750 Enrollment ID: I20040813001134 |
| Provider Name | Guoping Zhou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083634166 PECOS PAC ID: 6800845256 Enrollment ID: I20050112001174 |
| Provider Name | Sarat Bhumi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861578924 PECOS PAC ID: 4385651561 Enrollment ID: I20060313000571 |
| Provider Name | Sofya A Kleyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972628865 PECOS PAC ID: 3678665312 Enrollment ID: I20070824000832 |
| Provider Name | Leonid E Tafler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932237146 PECOS PAC ID: 8123176609 Enrollment ID: I20090512000091 |
| Provider Name | Alexander Gorodnitskiy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447581327 PECOS PAC ID: 5092993113 Enrollment ID: I20110620000582 |
| Provider Name | Boris Byalik |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1346450897 PECOS PAC ID: 7618155433 Enrollment ID: I20110627000649 |
| Provider Name | Senada Steinman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164955019 PECOS PAC ID: 0143587626 Enrollment ID: I20171208001835 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
Debra Green, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 | |
S. Nadesan Physician, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 | |
Avraham Y Henoch Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 | |
Vincent Esposito Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
Jeffrey Glick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 | |
Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |