| Uni Health Medical Pc | |
|
1908 Avenue K Brooklyn NY 11230-4904 | |
| (718) 859-6786 | |
| (718) 859-6783 |
| Full Name | Uni Health Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1908 Avenue K, Brooklyn, New York |
| Authorized Official Name and Position | Andzhelika Kagzanova (SOLO PRACTICIAN) |
| Authorized Official Contact | 7188596786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uni Health Medical Pc 1908 Avenue K Brooklyn NY 11230-4904 Ph: (718) 859-6786 | Uni Health Medical Pc 1908 Avenue K Brooklyn NY 11230-4904 Ph: (718) 859-6786 |
| NPI Number | 1740463546 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 12/18/2013 |
| Medicare PECOS PAC ID | 3577582071 |
|---|---|
| Medicare Enrollment ID | O20051114001111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740463546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 226925 (New York) | Primary |
| Provider Name | Andzhelika Kagzanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265462931 PECOS PAC ID: 9032014121 Enrollment ID: I20031203000062 |
| Provider Name | Yelena Lyutershteyn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083659668 PECOS PAC ID: 6406947134 Enrollment ID: I20070809000132 |
| Provider Name | Heba Mahmoud Ali |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508383910 PECOS PAC ID: 7911261391 Enrollment ID: I20180511000433 |
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