LICH FACULTY PRACTICE (NPI# 1790969442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790969442 |
| Entity Type | Organization |
| Organization Name | LICH FACULTY PRACTICE |
| Practice Address |
339 Hicks St Brooklyn NY 11201-5509 |
| Mailing Address |
160 Water St 20th Floor New York NY 10038-4922 |
| Practice Telephone | 7187801000 |
| Mailing Telephone | 2122563424 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2008-04-07 |
| Authorized Official Name | DEBORAH HACKETT (AVP) |
| Authorized Official Telephone | 2122563424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| 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 |
| 1598999195 | Lich Faculty Practice | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 350 Henry St, Brooklyn, NY 11201-6001 | 2009-05-11 |
| 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 |
| 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 |
339 HICKS ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912901679 | Ciril J Godec | Urology | 339 Hicks St, Fl 7, Brooklyn, NY 11201-5509 | 2005-06-10 |
| 1376985069 | Parul Patel | Pharmacist | 339 Hicks St, Brooklyn, NY 11201-5509 | 2013-07-23 |
| 1124368402 | Sonia A D'amelio Raymond | Pharmacist | 339 Hicks St, Brooklyn, NY 11201-5509 | 2013-02-22 |
| 1396080503 | Marcia Andrea Reid | Nurse Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-11-29 |
| 1184983215 | Jonathan Shih-chen Kung | Internal Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-05-09 |
| 1861759169 | Hyoung Kyu Oh | Radiology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-04-12 |
| 1295009926 | Rose Suzette Bristol | Physician Assistant | 339 Hicks St, 3rd Floor Fuller, Brooklyn, NY 11201-5509 | 2012-02-27 |
| 1386917383 | Pearline Mentis Thompson | Nurse Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-02-22 |
| 1720374986 | Ammar Mahmoud | Obstetrics & Gynecology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-06-24 |
| 1205129459 | Simran Kaur Mann | Internal Medicine | 339 Hicks St, Dept of Internal Medicine, Brooklyn, NY 11201-5509 | 2011-05-20 |
| Find all providers in the same location | ||||
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649767013 | Complete Express Medical PC | Internal Medicine | 3047 Avenue U Ste 2, Brooklyn, NY 11229-5144 | 2018-04-20 |
| 1699287201 | Heart & Rhythm Centers of Excellence, Inc | Internal Medicine | 1623 Flatbush Ave Ste 110, Brooklyn, NY 11210-3259 | 2017-11-05 |
| 1073962304 | Feel Good Medical PC | Internal Medicine | 2965 Ocean Pkwy Ste 2b, Brooklyn, NY 11235-8048 | 2016-06-07 |
| 1871958140 | Med Care Consultants | Internal Medicine | 4713 Church Ave, Brooklyn, NY 11203-3209 | 2015-12-30 |
| 1710366729 | Nyc Diagnostic Medical P.C. | Internal Medicine | 622 Avenue X, Brooklyn, NY 11235-6120 | 2015-05-22 |
| 1952723017 | Jeremiah M Gelles, Md PC | Internal Medicine | 508 78th St, Brooklyn, NY 11209-3706 | 2014-01-09 |
| 1265862486 | Cardiovascular Wellness Medical | Internal Medicine | 2606 Haring St Fl 2, Brooklyn, NY 11235-1606 | 2013-11-25 |
| 1821437401 | Pace Cardiology PC | Internal Medicine | 135 Ocean Pkwy Ste 1t, Brooklyn, NY 11218-2579 | 2013-06-18 |
| 1740522176 | Cardiac Associates of New York Pllc | Internal Medicine | 372 Avenue U Ste 1b, Brooklyn, NY 11223-4052 | 2013-03-24 |
| 1831430495 | Helping Hands Medical Services PC | Internal Medicine | 2422 Knapp St, Brooklyn, NY 11235-1006 | 2013-03-07 |
| 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.