| Victory Internal Medicine, P.c. | |
|
2315 Victory Blvd Staten Island NY 10314-6623 | |
| (718) 477-6900 | |
| Not Available |
| Full Name | Victory Internal Medicine, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2315 Victory Blvd, Staten Island, New York |
| Authorized Official Name and Position | Shye Wortman (PRESIDENT) |
| Authorized Official Contact | 7184776900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Internal Medicine, P.c. 2315 Victory Blvd Staten Island NY 10314-6623 Ph: (718) 477-6900 | Victory Internal Medicine, P.c. 2315 Victory Blvd Staten Island NY 10314-6623 Ph: (718) 477-6900 |
| NPI Number | 1831129865 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 0446142640 |
|---|---|
| Medicare Enrollment ID | O20040324001779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831129865 | NPI | - | NPPES |
| CJ9386 | Other | NY | RAILROAD MEDICARE GROUP# |
| 2294955 | Other | NY | AETNA HMO GROUP# |
| 7585094 | Other | NY | AETNA PPO GROUP# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 201641 (New York) | Primary |
| Provider Name | Louis M Emmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306897327 PECOS PAC ID: 5092627604 Enrollment ID: I20031103000369 |
| Provider Name | Alla M Plotkina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881737757 PECOS PAC ID: 0749277713 Enrollment ID: I20040429001557 |
| Provider Name | Jonathan M Weber |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588638142 PECOS PAC ID: 5294726253 Enrollment ID: I20040519001313 |
| Provider Name | Akiva Bergman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194782300 PECOS PAC ID: 5597771485 Enrollment ID: I20060301000781 |
| Provider Name | Catherine A Guidera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588722417 PECOS PAC ID: 0941200281 Enrollment ID: I20070110000259 |
| Provider Name | Eliyahu Kopstick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225083546 PECOS PAC ID: 1759485790 Enrollment ID: I20070418000298 |
| Provider Name | Shye S Wortman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275584138 PECOS PAC ID: 3779686803 Enrollment ID: I20080809000011 |
| Provider Name | Seth Brum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144271917 PECOS PAC ID: 5597868620 Enrollment ID: I20080809000025 |
| Provider Name | Muzafar H Surahio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932141017 PECOS PAC ID: 9931241403 Enrollment ID: I20100126000051 |
| Provider Name | Sunil Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972679942 PECOS PAC ID: 3274716717 Enrollment ID: I20110322000346 |
| Provider Name | Neven Nassif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235439456 PECOS PAC ID: 5193908127 Enrollment ID: I20110329000113 |
| Provider Name | Melissa A Madalone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720213606 PECOS PAC ID: 6901077791 Enrollment ID: I20110928000296 |
All Island Physician Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 Bard Ave, Staten Island, NY 10310 Phone: 718-818-3327 | |
Im Care Family Health Np Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3974 Amboy Rd Ste 302, Staten Island, NY 10308 Phone: 718-967-1071 | |
Richmond Primary Care Specialists, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 Seguine Ave, Suite 1, Staten Island, NY 10309 Phone: 718-967-8300 Fax: 718-967-8335 | |
S & G Medical Services, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3350 Victory Blvd Unit A, Staten Island, NY 10314 Phone: 718-331-6064 | |
Onecare Health-advanced Practice Health & Wellness Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 97 Port Richmond Ave, Staten Island, NY 10302 Phone: 347-460-1239 | |
Dongan Hills Medical Practice,pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1487 Richmond Rd, Staten Island, NY 10304 Phone: 718-979-3643 Fax: 718-987-2655 | |
Internal Medicine Associates Of Richmond County Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2260 Victory Boulevard, Staten Island, NY 10314 Phone: 718-761-4400 Fax: 718-698-0878 |