Samira Ovshaev Do Pc | |
4010 Avenue J Brooklyn NY 11210-4440 | |
(718) 266-9779 | |
Not Available |
Full Name | Samira Ovshaev Do Pc |
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Speciality | Family Medicine |
Location | 4010 Avenue J, Brooklyn, New York |
Authorized Official Name and Position | Samira Ovshaev (MEDICAL DIRECTOR) |
Authorized Official Contact | 7182669779 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Samira Ovshaev Do Pc 4010 Avenue J Brooklyn NY 11210-4440 Ph: () - | Samira Ovshaev Do Pc 4010 Avenue J Brooklyn NY 11210-4440 Ph: (718) 266-9779 |
NPI Number | 1437748332 |
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Provider Enumeration Date | 01/14/2021 |
Last Update Date | 01/14/2021 |
Medicare PECOS PAC ID | 3577978550 |
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Medicare Enrollment ID | O20210225001306 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437748332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Samira Ovshaev |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679518237 PECOS PAC ID: 2062488687 Enrollment ID: I20061023000058 |
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