BUSHWICK MEDICAL OF NEW YORK LLC (NPI# 1720565922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720565922 |
| Entity Type | Organization |
| Organization Name | BUSHWICK MEDICAL OF NEW YORK LLC |
| Practice Address |
441 Knickerbocker Ave Ste B Brooklyn NY 11237-4508 |
| Mailing Address |
Po Box 32 Northbrook IL 60065-0032 |
| Practice Telephone | 3477732684 |
| Practice Fax Number | 7182613893 |
| Mailing Telephone | 8475938460 |
| Mailing Fax Number | 2242354652 |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |
| Authorized Official Name | FLORA KATSNELSON (OWNER) |
| Authorized Official Telephone | 8477720089 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
441 KNICKERBOCKER AVE STE B |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11237-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1013575554 | Miseon Kang | Counselor | Brooklyn Psychotherapy, 148 Wilson Ave, Brooklyn, NY 11237 | 2019-05-30 |
| 1023598943 | Kathryn Falk | Speech-Language Pathologist | Ps 376 C/o Kathryn Falk, 194 Harman Street, Brooklyn, NY 11237 | 2018-08-20 |
| 1437648870 | Dawn Tya Chapin | Student in an Organized Health Care Education/Training Program | Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237 | 2018-05-01 |
| 1518410471 | Cameron Hetzler | Dentist | 374 Stockholm St., Brooklyn, NY 11237 | 2016-07-27 |
| 1215399043 | Rose R Capuz | Skilled Nursing Facility | 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 | 2016-03-22 |
| 1245695030 | Wyckoff Heights Dental Services, PC | Clinic/Center | Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 | 2015-12-21 |
| 1245615442 | Estefany Sanchez Mendez | Pediatrics | 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 | 2015-07-29 |
| 1033507231 | Macarena Rufin | Counselor | 315 Wyckoff Ave., 6th Floor, Brooklyn, NY 11237 | 2014-12-23 |
| 1740691021 | Wyckoff Anesthesia and Medical Services, PC | Clinic/Center | 93-95 Wyckoff Ave, Wyckoff Anesthesia and Medical Services, PC, Brooklyn, NY 11237 | 2014-05-08 |
| Find all providers in zip 11237 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1407483399 | Interventional Medicine | Surgery | 1122a Coney Island Ave, Brooklyn, NY 11230-2307 | 2020-03-23 |
| 1003393299 | Bushwick Professional Medical Services of New York LLC | Surgery | 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 | 2018-07-20 |
| 1043752785 | Starrett City Medical of New York LLC | Surgery | 924 Flatbush Ave, Brooklyn, NY 11226-4018 | 2016-11-11 |
| 1801207071 | Melissa Jennifer Baldwin | Surgery | 3131 Kings Hwy # Ll-07, Brooklyn, NY 11234 | 2014-05-09 |
| 1457629941 | Anukware Ketosugbo, Md, PC | Surgery | 20 Plaza Steet East, Brooklyn, NY 11238 | 2011-12-12 |
| 1568789469 | Hemal J Shah | Surgery | 476 7th St, Brooklyn, NY 11215-3613 | 2010-05-01 |
| 1659541886 | Michael Bezuevsky | Surgery | 3049 Ocean Parkway, Second Floor, Brooklyn, NY 11235 | 2008-03-04 |
| 1427278407 | Alexander Shiferson | Surgery | 903 49th St, Brooklyn, NY 11219-2923 | 2007-05-01 |
| 1710037627 | Jagannath Singh | Surgery | 8769 14th Ave, Brooklyn, NY 11228-3803 | 2007-01-11 |
| 1407957863 | Inam Ul Haq | Surgery | 966 50th St, Brooklyn, NY 11219-3309 | 2006-09-26 |
| 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.