Natalya Kozlov Medical Pc | |
501 Surf Ave # B Brooklyn NY 11224-3551 | |
(718) 372-8822 | |
Not Available |
Full Name | Natalya Kozlov Medical Pc |
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Speciality | Internal Medicine |
Location | 501 Surf Ave # B, Brooklyn, New York |
Authorized Official Name and Position | Natalya Kozlov (PREZIDENT) |
Authorized Official Contact | 9173555427 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Natalya Kozlov Medical Pc 501 Surf Ave Apt 19k Brooklyn NY 11224-3551 Ph: (718) 372-8822 | Natalya Kozlov Medical Pc 501 Surf Ave # B Brooklyn NY 11224-3551 Ph: (718) 372-8822 |
NPI Number | 1225194269 |
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Provider Enumeration Date | 12/27/2006 |
Last Update Date | 06/19/2009 |
Medicare PECOS PAC ID | 9931115151 |
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Medicare Enrollment ID | O20060227000000 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225194269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 214386 (New York) | Primary |
Provider Name | Natalya Kozlov |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497791974 PECOS PAC ID: 2567405095 Enrollment ID: I20050606001187 |
Provider Name | Glenn J Donovan |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1700950839 PECOS PAC ID: 2264534403 Enrollment ID: I20070219000696 |
Provider Name | Ilya Dpm Shnitser |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1932547635 PECOS PAC ID: 3779878335 Enrollment ID: I20160822000248 |
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