LYUDMILA CAVALIER PHYSICIAN PC


Address: 9014 Flatlands Ave, Brooklyn, NY 11236-3616
Phone: 7182095353

LYUDMILA CAVALIER PHYSICIAN PC (NPI# 1780895094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780895094
Entity Type Organization
Organization Name LYUDMILA CAVALIER PHYSICIAN PC
Practice Address 9014 Flatlands Ave
Brooklyn
NY 11236-3616
Practice Telephone 7182095353
Practice Fax Number 7182091745
Mailing Telephone 7182095353
Mailing Fax Number 7182091745
Enumeration Date 2007-05-25
Last Update Date 2007-11-01
Authorized Official Name LYUDMILA G CAVALIET (DIRECTOR)
Authorized Official Telephone 7182095353
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 02496519 05

Office Location

Street Address 9014 FLATLANDS AVE
City BROOKLYN
State NY
Zip Code 11236-3616

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1154898880 Shanice A Mcghie Licensed Practical Nurse 718 East 84th Street, Brooklyn, NY 11236 2018-10-31
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1942707161 Suzette Rebecca Ryan Registered Nurse 1009 E 86th Street, 3rd Floor, Brooklyn, NY 11236 2018-04-13
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1013293588 Physio Logic Medicine, P.C. Clinic/Center 409 Fulton Street, 2nd Floor, Brooklyn, NY 11201 2011-10-28
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1821210402 Crown Heights Medical, P.C. Clinic/Center 540 E New York Ave, Brooklyn, NY 11225-4514 2007-05-03
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Competitor

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City BROOKLYN
Zip Code 11236

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Dataset Information

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.

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