Rds Medical P.c. | |
7510 4th Ave Ste 5 Brooklyn NY 11209-3244 | |
(718) 836-0761 | |
(718) 836-7369 |
Full Name | Rds Medical P.c. |
---|---|
Speciality | Family Medicine |
Location | 7510 4th Ave, Brooklyn, New York |
Authorized Official Name and Position | Oscar Varshavskiy (OWNER) |
Authorized Official Contact | 7188360761 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rds Medical P.c. 7510 4th Ave Ste 5 Brooklyn NY 11209-3244 Ph: (718) 836-0761 | Rds Medical P.c. 7510 4th Ave Ste 5 Brooklyn NY 11209-3244 Ph: (718) 836-0761 |
NPI Number | 1003275975 |
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Provider Enumeration Date | 02/19/2016 |
Last Update Date | 02/19/2016 |
Medicare PECOS PAC ID | 6204133960 |
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Medicare Enrollment ID | O20160323000915 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003275975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 223135 (New York) | Primary |
Provider Name | Oskar Varshavskiy |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1528053659 PECOS PAC ID: 5597931477 Enrollment ID: I20111223000101 |
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