| Ocean Parkway Medical, P.c. | |
|
749 Ocean Pkwy Brooklyn NY 11230-7813 | |
| (718) 724-0900 | |
| (718) 724-1590 |
| Full Name | Ocean Parkway Medical, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 749 Ocean Pkwy, Brooklyn, New York |
| Authorized Official Name and Position | Tatyana Ingberman (INTERNAML MEDICINE/MEDICAL DIRECTOR) |
| Authorized Official Contact | 7187240900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Parkway Medical, P.c. 749 Ocean Pkwy Brooklyn NY 11230-7813 Ph: (718) 724-0900 | Ocean Parkway Medical, P.c. 749 Ocean Pkwy Brooklyn NY 11230-7813 Ph: (718) 724-0900 |
| NPI Number | 1801891064 |
|---|---|
| Provider Enumeration Date | 06/15/2005 |
| Last Update Date | 11/13/2007 |
| Medicare PECOS PAC ID | 5597654731 |
|---|---|
| Medicare Enrollment ID | O20040315000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801891064 | NPI | - | NPPES |
| 02357775 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 205927 (New York) | Secondary |
| 207R00000X | Internal Medicine | 200551 (New York) | Primary |
| 213E00000X | Podiatrist | N005775 (New York) | Secondary |
| Provider Name | Mira I Sherer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912961616 PECOS PAC ID: 4284641598 Enrollment ID: I20060310000670 |
| Provider Name | Tatyana Filenko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982802849 PECOS PAC ID: 4486745296 Enrollment ID: I20070808000711 |
| Provider Name | Tatyana Ingberman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962407106 PECOS PAC ID: 4183667314 Enrollment ID: I20101004001189 |
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