| Nina Kushner Medical Pc | |
|
4513 14th Ave Brooklyn NY 11219-2107 | |
| (718) 633-9191 | |
| (718) 633-6661 |
| Full Name | Nina Kushner Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4513 14th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Nina Kushner (OWNER) |
| Authorized Official Contact | 7186339191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nina Kushner Medical Pc 4513 14th Ave Brooklyn NY 11219-2107 Ph: (718) 633-9191 | Nina Kushner Medical Pc 4513 14th Ave Brooklyn NY 11219-2107 Ph: (718) 633-9191 |
| NPI Number | 1215095823 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 01/11/2008 |
| Medicare PECOS PAC ID | 9335153436 |
|---|---|
| Medicare Enrollment ID | O20060127000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215095823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nina Kushner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104801091 PECOS PAC ID: 0547274664 Enrollment ID: I20060201000092 |
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