STANISLAV KULISHOV PHYSICIAN P.C. (NPI# 1477627370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477627370 |
| Entity Type | Organization |
| Organization Name | STANISLAV KULISHOV PHYSICIAN P.C. |
| Practice Address |
1833 E 13th St Suite 1a Brooklyn NY 11229-2807 |
| Practice Telephone | 7186273939 |
| Practice Fax Number | 7186278737 |
| Mailing Telephone | 7186273939 |
| Mailing Fax Number | 7186278737 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2012-11-02 |
| Authorized Official Name | STANISLAV KULISHOV (PRESIDENT) |
| Authorized Official Telephone | 7186273939 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
208948 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03475514 | 05 |
| Street Address |
1833 E 13TH ST SUITE 1A |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11229-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780672352 | Alla Galitskiy | Pharmacist | 1833 E 13th St, Apt # 2-b, Brooklyn, NY 11229-2807 | 2005-10-07 |
| 1174063168 | Ibs Diagnostics & Physical Therapy PC | Specialist | 1833 E 13th St, #ca, Brooklyn, NY 11229-2894 | 2017-02-24 |
| 1568413045 | Rose-marie Carrera | Internal Medicine | 1833 E 13th St, Suite 1b, Brooklyn, NY 11229-2882 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041291 | Nastasia Shygaieva | Counselor | 2 Ivan Court, House, Brooklyn, NY 11229 | 2020-04-08 |
| 1700430253 | Nicole Komisar | Case Manager/Care Coordinator | 2148 Ocean Avenu Suite 302, Brooklyn, NY 11229 | 2019-08-01 |
| 1639723950 | Refuah Diagnostics LLC | Technician | 1988 East 22nd Street, Ground Floor, Brooklyn, NY 11229 | 2019-07-25 |
| 1235792987 | Igor Kulishov | Counselor | 1623 Kings Highway, Brooklyn, Ny 11229, Brooklyn, NY 11229 | 2019-04-18 |
| 1477016145 | Natalia Roth | Nurse Practitioner | Visiting Nurse Service of New York, 1630 East 15 St, 3 Fl, NY 11229 | 2019-04-10 |
| 1942769930 | 1st Care Nj LLC | Case Management | 3919 Bedford Ave, Brooklyn, NY 11229 | 2019-03-18 |
| 1689138505 | Expert Home Care, Inc. | Home Health Aide | 1906 Kings Highway, 2nd Floor, Brooklyn, NY 11229 | 2019-01-24 |
| 1881167732 | Luba's Homecare Inc. | Home Health | 2518 Ocean Ave., Cellar Floor, Brooklyn, NY 11229 | 2019-01-03 |
| 1073084216 | Gem Therapy LLC | Early Intervention Provider Agency | 1674 East 19th Street, 2fl, Brooklyn, NY 11229 | 2018-12-16 |
| 1316412356 | Rina Barkhordarzadeh | Speech-Language Pathologist | 1925 Stuart Street, Brooklyn, NY 11229 | 2018-10-05 |
| Find all providers in zip 11229 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073752382 | Firas A Taha | Psychiatry & Neurology | 977 48th Street, Maimonides Pediatric Neurology, Brooklyn, NY 11219-2919 | 2009-02-10 |
| 1710019815 | Yongming Mao Physician PC | Psychiatry & Neurology | 1675 W 1st St, Suite 2, Brooklyn, NY 11223-1744 | 2007-03-12 |
| 1528037470 | Romaine Schubert | Psychiatry & Neurology | 263 7th Ave Ste 4a, Brooklyn, NY 11215-3693 | 2006-03-14 |
| 1639411226 | Yoshimi Hisamoto | Psychiatry & Neurology | 1 Brookdale Plz, Department of Pediatrics, Brooklyn, NY 11212-3139 | 2013-03-21 |
| 1598046450 | Julia Katherina Holtmann | Psychiatry & Neurology | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2011-09-06 |
| 1942596630 | Nisida Berberi | Psychiatry & Neurology | 8714 5th Ave, Brooklyn, NY 11209-5204 | 2011-06-22 |
| 1386840999 | Belinda Oyinkan Marquis | Psychiatry & Neurology | 450 Clarkson Ave, B4-330, Brooklyn, NY 11203-2012 | 2007-06-21 |
| 1982824314 | Adrian Zachar Logush | Psychiatry & Neurology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-04-26 |
| 1477607919 | Media Neurology PC | Psychiatry & Neurology | 2000 Kings Highway, Suite 1e, Brooklyn, NY 11229-1445 | 2007-01-22 |
| 1538235973 | Nirmala Mitra | Psychiatry & Neurology | 760 Broadway, Woodhull Medical & Mental Health Center, Department of Pediatrics, Brooklyn, NY 11206 | 2006-11-28 |
| 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.