| S A&d Comprehensive Medical Pc | |
|
2000 Kings Hwy Ste C Brooklyn NY 11229-1445 | |
| (718) 787-2077 | |
| (718) 787-2477 |
| Full Name | S A&d Comprehensive Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2000 Kings Hwy Ste C, Brooklyn, New York |
| Authorized Official Name and Position | Marina Vinarskaya (PRESIDENT) |
| Authorized Official Contact | 7187872077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S A&d Comprehensive Medical Pc 2000 Kings Hwy, Suite C Brooklyn NY 11229-1445 Ph: (718) 787-2077 | S A&d Comprehensive Medical Pc 2000 Kings Hwy Ste C Brooklyn NY 11229-1445 Ph: (718) 787-2077 |
| NPI Number | 1477804961 |
|---|---|
| Provider Enumeration Date | 09/25/2012 |
| Last Update Date | 09/25/2012 |
| Medicare PECOS PAC ID | 0941452601 |
|---|---|
| Medicare Enrollment ID | O20121204000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477804961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 212557 (New York) | Primary |
| Provider Name | Marina V Vinarskaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447332085 PECOS PAC ID: 8426945700 Enrollment ID: I20040302000319 |
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