| Refua Shlema Medical Pc | |
|
499 Crown St Brooklyn NY 11213-5126 | |
| (347) 614-1717 | |
| Not Available |
| Full Name | Refua Shlema Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 499 Crown St, Brooklyn, New York |
| Authorized Official Name and Position | Rafael I Ilyayev (DR) |
| Authorized Official Contact | 3476141717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Refua Shlema Medical Pc 499 Crown St Brooklyn NY 11213-5126 Ph: (347) 614-1717 | Refua Shlema Medical Pc 499 Crown St Brooklyn NY 11213-5126 Ph: (347) 614-1717 |
| NPI Number | 1003093519 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 04/06/2009 |
| Medicare PECOS PAC ID | 1658457577 |
|---|---|
| Medicare Enrollment ID | O20080318000471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003093519 | NPI | - | NPPES |
| 02909539 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 60 245643 (New York) | Primary |
| Provider Name | Rafael I Ilyayev |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730373192 PECOS PAC ID: 5294829206 Enrollment ID: I20070921000333 |
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