LICH FACULTY PRACTICE (NPI# 1598999195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598999195 |
| Entity Type | Organization |
| Organization Name | LICH FACULTY PRACTICE |
| Other Organization Name | GENERAL SURGERY AT LICH |
| Practice Address |
350 Henry St Brooklyn NY 11201-6001 |
| Practice Telephone | 5165690696 |
| Mailing Telephone | 5165690696 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |
| Authorized Official Name | SUZANNE CASDEN (CRENDIALING MANAGER) |
| Authorized Official Telephone | 5165690696 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| GENERAL SURGERY AT LICH | Former Legal Business Name - Organization |
| 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 |
| 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 |
| 1174707822 | 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 |
350 HENRY ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-6001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902800469 | Thomas L Raftery | Surgery | 350 Henry St, Brooklyn, NY 11201-6001 | 2005-06-11 |
| 1164656112 | General Surgery At Lich | Surgery | 350 Henry St, Brooklyn, NY 11201-6001 | 2009-05-06 |
| 1568512192 | Michael O Bernstein | Surgery | 350 Henry St, Brooklyn, NY 11201-6001 | 2007-01-12 |
| 1336211028 | Irina Davidova | Physician Assistant | 350 Henry St, Brooklyn, NY 11201-6001 | 2006-11-15 |
| 1255402574 | Vladlena Nisevich | Physician Assistant | 350 Henry St, Brooklyn, NY 11201-6001 | 2006-11-10 |
| 1457306680 | Total Health At Lich | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 350 Henry St, Brooklyn, NY 11201-6001 | 2006-05-24 |
| 1679524813 | Brooklyn Anesthesia Medical Group, Pllc | Specialist | 350 Henry St, 4th Floor, Brooklyn, NY 11201-6001 | 2006-05-12 |
| 1720049489 | Melita Charles | Surgery | 350 Henry St, Brooklyn, NY 11201-6001 | 2006-03-31 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639694805 | Bay Ridge Surgi-center LLC | Surgery | 370 Bay Ridge Pkwy Ste 1, Brooklyn, NY 11209-3164 | 2017-08-09 |
| 1871977298 | Siarhei Melnikau | Surgery | 321 86th St Apt 2d, Brooklyn, NY 11209-5027 | 2015-07-15 |
| 1356757868 | Cristina Pate | Surgery | 5 Maspeth Ave, Brooklyn, NY 11211-2508 | 2014-07-03 |
| 1740601152 | Guy Yves Augustin | Surgery | 2603 Avenue D, Brooklyn, NY 11226-7811 | 2014-01-02 |
| 1720420763 | Mohammad Hamshow | Surgery | 948 48th St Fl 3, Brooklyn, NY 11219-2918 | 2013-07-18 |
| 1376984310 | Maryam Saeed | Surgery | 450 Clarkson Ave # 40, Brooklyn, NY 11203-2012 | 2013-07-06 |
| 1346680790 | Joseph A Sidaoui | Surgery | 27 Kingsland Ave Apt 2l, Brooklyn, NY 11211-1551 | 2013-06-30 |
| 1336584333 | Joseph Rothman | Surgery | 1316 E 24th St, Brooklyn, NY 11210-5143 | 2013-05-03 |
| 1083954648 | Jacques Duperval, Md, Fics, Facs, PC | Surgery | 60 Plaza Street East, Suite S-3, Brooklyn, NY 11238 | 2013-02-19 |
| 1700123189 | Liba Shaffer | Surgery | 9 E 91st St, Brooklyn, NY 11212-1501 | 2013-01-06 |
| 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.