| Ny Total Medical Care, P.c. | |
|
362 9th St Brooklyn NY 11215-4008 | |
| (718) 499-6099 | |
| (718) 499-6391 |
| Full Name | Ny Total Medical Care, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 362 9th St, Brooklyn, New York |
| Authorized Official Name and Position | Jorge Serje (OWNER) |
| Authorized Official Contact | 7184996099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ny Total Medical Care, P.c. 362 9th St Brooklyn NY 11215-4008 Ph: (718) 499-6099 | Ny Total Medical Care, P.c. 362 9th St Brooklyn NY 11215-4008 Ph: (718) 499-6099 |
| NPI Number | 1275625428 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 10/10/2007 |
| Medicare PECOS PAC ID | 9638077399 |
|---|---|
| Medicare Enrollment ID | O20100204000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275625428 | NPI | - | NPPES |
| 02394512 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| Provider Name | Niranjan K Mittal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083680003 PECOS PAC ID: 1951318153 Enrollment ID: I20060314000022 |
| Provider Name | Augusto Zevallos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962547331 PECOS PAC ID: 4183710536 Enrollment ID: I20071016000150 |
| Provider Name | Jorge Serje |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285681643 PECOS PAC ID: 9335047091 Enrollment ID: I20100204000006 |
| Provider Name | Silia M Goldsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588710982 PECOS PAC ID: 6507001286 Enrollment ID: I20130329000122 |
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