LICH FACULTY PRACTICE (NPI# 1174707822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174707822 |
| Entity Type | Organization |
| Organization Name | LICH FACULTY PRACTICE |
| Practice Address |
339 Hicks St Brooklyn NY 11201-5509 |
| Mailing Address |
160 Water St 20th Floor New York NY 10038-4922 |
| Practice Telephone | 7187801000 |
| Mailing Telephone | 2122563424 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2008-04-07 |
| Authorized Official Name | DEBORAH HACKETT (AVP) |
| Authorized Official Telephone | 2122563424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326375510 | Lich Faculty Practice | Urology | 339 Hicks St, 7th Floor, Brooklyn, NY 11201-5509 | 2009-11-09 |
| 1487988044 | Lich Faculty Practice | Internal Medicine | 160 Water St, 20th Floor, New York, NY 10038-4922 | 2009-09-29 |
| 1598999195 | Lich Faculty Practice | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 350 Henry St, Brooklyn, NY 11201-6001 | 2009-05-11 |
| 1841457967 | Lich Faculty Practice | Psychiatry & Neurology | 97 Amity St, 6th Floor, Brooklyn, NY 11201-6004 | 2008-05-16 |
| 1982888632 | Lich Faculty Practice | Dermatology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-12-18 |
| 1790969442 | Lich Faculty Practice | Internal Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-12-18 |
| 1346424090 | Lich Faculty Practice | Psychiatry & Neurology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-12-18 |
| 1255515904 | Lich Faculty Practice | Otolaryngology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-12-18 |
| 1437333184 | Lich Faculty Practice | Internal Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-12-18 |
| 1699958678 | Lich Faculty Practice | Internal Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-12-12 |
| Street Address |
339 HICKS ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912901679 | Ciril J Godec | Urology | 339 Hicks St, Fl 7, Brooklyn, NY 11201-5509 | 2005-06-10 |
| 1376985069 | Parul Patel | Pharmacist | 339 Hicks St, Brooklyn, NY 11201-5509 | 2013-07-23 |
| 1124368402 | Sonia A D'amelio Raymond | Pharmacist | 339 Hicks St, Brooklyn, NY 11201-5509 | 2013-02-22 |
| 1396080503 | Marcia Andrea Reid | Nurse Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-11-29 |
| 1184983215 | Jonathan Shih-chen Kung | Internal Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-05-09 |
| 1861759169 | Hyoung Kyu Oh | Radiology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-04-12 |
| 1295009926 | Rose Suzette Bristol | Physician Assistant | 339 Hicks St, 3rd Floor Fuller, Brooklyn, NY 11201-5509 | 2012-02-27 |
| 1386917383 | Pearline Mentis Thompson | Nurse Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-02-22 |
| 1720374986 | Ammar Mahmoud | Obstetrics & Gynecology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-06-24 |
| 1205129459 | Simran Kaur Mann | Internal Medicine | 339 Hicks St, Dept of Internal Medicine, Brooklyn, NY 11201-5509 | 2011-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134421076 | Naser Yazigi Md PC | Internal Medicine | 421 78th Street, Suite B, Brooklyn, NY 11209-3447 | 2010-11-29 |
| 1518194216 | Daniel Eiras | Internal Medicine | 1218 Prospect Pl, Brooklyn, NY 11213-2211 | 2009-06-19 |
| 1134391279 | Medical Office of Dr Paul Mathieu PC | Internal Medicine | 2761 Bath Ave, Brooklyn, NY 11214-5551 | 2008-03-28 |
| 1831249176 | Yitzchak Ariel | Internal Medicine | 901-48 Street, Brooklyn, NY 11219-2919 | 2007-01-11 |
| 1457401911 | Richard David Cofsky | Internal Medicine | Brookdale Hospital, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2007-01-10 |
| 1154486082 | Jonathan D Zellan | Internal Medicine | 803 Sterling Pl, Brooklyn, NY 11216-3903 | 2006-12-22 |
| 1346318342 | Sarmistha Bhattacharya | Internal Medicine | 1000 Church Avenue, Brooklyn, NY 11218-2710 | 2006-11-30 |
| 1003980814 | Pascal Joseph De Caprariis | Internal Medicine | 175 Adams St, 5g, Brooklyn, NY 11201 | 2006-11-20 |
| 1396857207 | Muhammad Ahmad | Internal Medicine | 1121 Coney Island Ave, Brooklyn, NY 11230 | 2006-08-31 |
| 1124051388 | Jameela Jahaan Yusuff | Internal Medicine | 450 Clarkson Ave # Msc1240, Brooklyn, NY 11203-2012 | 2006-07-09 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.