| T. Bonnett Medical Services P.c | |
|
423 Lincoln Pl Brooklyn NY 11238-5497 | |
| (347) 404-6508 | |
| (718) 484-2415 |
| Full Name | T. Bonnett Medical Services P.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 423 Lincoln Pl, Brooklyn, New York |
| Authorized Official Name and Position | Terry Blackett-bonnett (OWNER) |
| Authorized Official Contact | 3474046508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T. Bonnett Medical Services P.c Po Box 69 Brooklyn NY 11215-0069 Ph: (347) 404-6508 | T. Bonnett Medical Services P.c 423 Lincoln Pl Brooklyn NY 11238-5497 Ph: (347) 404-6508 |
| NPI Number | 1144461146 |
|---|---|
| Provider Enumeration Date | 03/20/2009 |
| Last Update Date | 10/05/2018 |
| Medicare PECOS PAC ID | 4385912641 |
|---|---|
| Medicare Enrollment ID | O20170612000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144461146 | NPI | - | NPPES |
| 01988696 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Terry-jan R Blackett-bonnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568689099 PECOS PAC ID: 6204889587 Enrollment ID: I20050226000054 |
| Provider Name | Jaideep Chopra |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376537985 PECOS PAC ID: 8820004898 Enrollment ID: I20060228000534 |
| Provider Name | Colette Nelson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952525396 PECOS PAC ID: 1052696234 Enrollment ID: I20170330002235 |
| Provider Name | Gladys Christophe |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285853549 PECOS PAC ID: 7911258504 Enrollment ID: I20180920001451 |
| Provider Name | Roselind Kwaamah Vanderpuije |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962093294 PECOS PAC ID: 6507272606 Enrollment ID: I20210316001554 |
| Provider Name | Nahil S Chohan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205179074 PECOS PAC ID: 9032592340 Enrollment ID: I20220819000849 |
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