| Z Medical P.c. | |
|
4802 10th Ave Brooklyn NY 11219-2844 | |
| (917) 733-6923 | |
| Not Available |
| Full Name | Z Medical P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4802 10th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Dmitriy Zadushlivy (PRESIDENT) |
| Authorized Official Contact | 9177336923 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Z Medical P.c. 2425 Kings Hwy Apt# F8 Brooklyn NY 11229-1670 Ph: (917) 733-6923 | Z Medical P.c. 4802 10th Ave Brooklyn NY 11219-2844 Ph: (917) 733-6923 |
| NPI Number | 1265489629 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 01/29/2008 |
| Medicare PECOS PAC ID | 2466464466 |
|---|---|
| Medicare Enrollment ID | O20060609000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265489629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 229221 (New York) | Primary |
| Provider Name | Dmitriy Zadushlivy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093768640 PECOS PAC ID: 6002801271 Enrollment ID: I20040416001257 |
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