| Salut Medical Pc | |
|
699 Stanley Ave Brooklyn NY 11207-7905 | |
| (347) 689-8880 | |
| (718) 247-7382 |
| Full Name | Salut Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 699 Stanley Ave, Brooklyn, New York |
| Authorized Official Name and Position | Ilya Kleyn (OWNER) |
| Authorized Official Contact | 3476898880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salut Medical Pc 1837 E 17th St Apt 5a Brooklyn NY 11229-2961 Ph: (347) 689-8880 | Salut Medical Pc 699 Stanley Ave Brooklyn NY 11207-7905 Ph: (347) 689-8880 |
| NPI Number | 1245682475 |
|---|---|
| Provider Enumeration Date | 07/12/2016 |
| Last Update Date | 10/16/2016 |
| Medicare PECOS PAC ID | 8820385107 |
|---|---|
| Medicare Enrollment ID | O20160930000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245682475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 215006 (New York) | Primary |
| Provider Name | Ilya Kleyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851327092 PECOS PAC ID: 5890777304 Enrollment ID: I20040607000834 |
| Provider Name | Sofya A Kleyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972628865 PECOS PAC ID: 3678665312 Enrollment ID: I20070824000832 |
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