YURI BROSGOL (NPI# 1740276302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740276302 |
| Entity Type | Individual |
| Full Name | YURI BROSGOL |
| Credential | MD |
| Practice Address |
30 W End Ave Building 1 Brooklyn NY 11235-4800 |
| Practice Telephone | 7186484567 |
| Practice Fax Number | 7186480407 |
| Mailing Telephone | 7186484567 |
| Mailing Fax Number | 7186480407 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2009-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
197230 | NY | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
197230 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
197230 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | EMPIRE BC/BS | 96X701 | 01 |
| NY | ATLANTIS HEALTH | BY7230 | 01 |
| NY | AMERICHOICE BY UNITED HEA | 100180984501 | 01 |
| NY | AETNA PPO | 5375627 | 01 |
| NY | 01659329 | 05 | |
| NY | OXFORD | P867555 | 01 |
| NY | HEALTHNET | 1C4456 | 01 |
| NY | HEALTH PLUS | 291720102 | 01 |
| NY | AETNA USHC HMO | 3444448 | 01 |
| NY | UNITED HEALTHCARE | 180984801 | 01 |
| NY | HEALTHFIRST | 197230-C15 | 01 |
| NY | HIP | 32255P | 01 |
| Street Address |
30 W END AVE BUILDING 1 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11235-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700017803 | Neurology Continuum PC | Specialist | 30 W End Ave, Bldg.1, Brooklyn, NY 11235-4800 | 2009-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463466 | Sk Tutoring Center LLC | Speech-Language Pathologist | 3360 Shore Parkway, Suite C1, Brooklyn, NY 11235 | 2020-09-24 |
| 1841803665 | Svetlana Gaitchikova | Registered Nurse | 35 Seacrest Terrace, Brooklyn, NY 11235 | 2020-08-31 |
| 1427661198 | Kizzy Marie Salguero | Social Worker | 2625, East 14th Street Suite 200, Brooklyn, NY 11235 | 2020-08-24 |
| 1861015042 | Aspire Physical Therapy PC | Physical Therapist | 3000 Ocean Pkwy #2jtrump Village 1, Brooklyn, NY 11235 | 2020-05-22 |
| 1093337248 | Dhwani Patel | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Coney Island Hospi, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-05-11 |
| 1780203596 | Thomas George | Student in an Organized Health Care Education/Training Program | Nyc Health & Hospitals/coney Island, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-04-11 |
| 1326676537 | Olukayode Ahmed Busari | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway Brooklyn, New York, NY 11235 | 2020-04-01 |
| 1831759323 | Daniel Groisman | Case Manager/Care Coordinator | 2571 East 17th Street, Groundfloor, Brooklyn, NY 11235 | 2019-06-17 |
| 1013577998 | Aaron Rene Allick Douen | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway, 4th Floor 4n98, Brooklyn, NY 11235 | 2019-06-13 |
| 1609431162 | Anna Pozdner | Speech-Language Pathologist | 2571 E 17th St, Brooklyn, Brooklyn, NY 11235 | 2019-05-09 |
| Find all providers in zip 11235 | ||||
| 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.