| South Brooklyn Care | |
|
716 Avenue Y Brooklyn NY 11235-6127 | |
| (347) 244-6608 | |
| Not Available |
| Full Name | South Brooklyn Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 716 Avenue Y, Brooklyn, New York |
| Authorized Official Name and Position | Aleksandre Toreli (MANAGING MEMBER) |
| Authorized Official Contact | 3472446608 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Brooklyn Care 716 Avenue Y Brooklyn NY 11235-6127 Ph: (347) 244-6608 | South Brooklyn Care 716 Avenue Y Brooklyn NY 11235-6127 Ph: (347) 244-6608 |
| NPI Number | 1568039774 |
|---|---|
| Provider Enumeration Date | 06/07/2021 |
| Last Update Date | 09/12/2021 |
| Medicare PECOS PAC ID | 1456746114 |
|---|---|
| Medicare Enrollment ID | O20220315002184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568039774 | NPI | - | NPPES |
| 04831572 | Medicaid | NY |
| Provider Name | Grigol Adeishvili |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619110244 PECOS PAC ID: 2860620382 Enrollment ID: I20140108001019 |
| Provider Name | Elvira Neculiseanu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518250729 PECOS PAC ID: 7113299108 Enrollment ID: I20170825002502 |
| Provider Name | Aleksandre Toreli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346533536 PECOS PAC ID: 8022353689 Enrollment ID: I20181231000700 |
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