Roman Brushtein Medical Pllc | |
303 Merrick Rd Suite 511 Lynbrook NY 11563-2501 | |
(516) 596-3611 | |
(516) 596-3612 |
Full Name | Roman Brushtein Medical Pllc |
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Speciality | Internal Medicine |
Location | 303 Merrick Rd, Lynbrook, New York |
Authorized Official Name and Position | Roman Brushtein (OWNER) |
Authorized Official Contact | 5165963611 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Roman Brushtein Medical Pllc 303 Merrick Rd Suite 511 Lynbrook NY 11563-2501 Ph: (516) 596-3611 | Roman Brushtein Medical Pllc 303 Merrick Rd Suite 511 Lynbrook NY 11563-2501 Ph: (516) 596-3611 |
NPI Number | 1952435182 |
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Provider Enumeration Date | 03/16/2007 |
Last Update Date | 02/11/2009 |
Medicare PECOS PAC ID | 5193735389 |
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Medicare Enrollment ID | O20060503000071 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952435182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (New York) | Primary |
Provider Name | Roman Brushtein |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194786772 PECOS PAC ID: 9032168570 Enrollment ID: I20050121000520 |
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