| Simon Medical Call Care Pc | |
|
198 Foster Ave Brooklyn NY 11230-2133 | |
| (718) 925-2646 | |
| Not Available |
| Full Name | Simon Medical Call Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 198 Foster Ave, Brooklyn, New York |
| Authorized Official Name and Position | Simon Fensterszaub (PRESIDENT) |
| Authorized Official Contact | 2127346621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simon Medical Call Care Pc 5151 Sarazen Dr Hollywood FL 33021-1601 Ph: (917) 863-8499 | Simon Medical Call Care Pc 198 Foster Ave Brooklyn NY 11230-2133 Ph: (718) 925-2646 |
| NPI Number | 1225746068 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 05/24/2023 |
| Medicare PECOS PAC ID | 7214307818 |
|---|---|
| Medicare Enrollment ID | O20221222001701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225746068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Simon Fensterszaub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003077322 PECOS PAC ID: 5890970230 Enrollment ID: I20110428000025 |
| Provider Name | Tierra Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063811529 PECOS PAC ID: 3173879004 Enrollment ID: I20180709001412 |
| Provider Name | Gregory W Smalley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811550163 PECOS PAC ID: 4082947346 Enrollment ID: I20190531002115 |
| Provider Name | Michele Nicole Chadrjian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376204081 PECOS PAC ID: 6406227180 Enrollment ID: I20230116000833 |
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