Anthony Boutin (NPI# 1386681120, PAC ID# 5799676425) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1386681120 |
| PAC ID by PECOS | 5799676425 |
| Professional Enrollment ID | I20040323000428 |
| Full Name | Anthony Boutin |
| Organization Legal Name | SUNY HEALTH SCIENCE CENTER AT BKLYN UNIVERSITY HOSPITAL OF BROOKLYN |
| Address |
840 Lefferts Ave Brooklyn NY 11203-1301 |
| Phone Number | 7184930300 |
| Gender | M |
| Credential | MD |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1991 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0840101770 |
| Number of Group Practice Members | 156 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330027 | NASSAU UNIVERSITY MEDICAL CENTER |
| 330350 | SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN |
| 330128 | ELMHURST HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 445 Lenox Rd, Brooklyn, NY 11203-2017 | 7182701000 | SUNY HEALTH SCIENCE CENTER AT BKLYN UNIVERSITY HOSPITAL OF BROOKLYN |
| 470 Clarkson Ave, Brooklyn, NY 11203-2012 | 7182454795 | SUNY HEALTH SCIENCE CENTER AT BKLYN UNIVERSITY HOSPITAL OF BROOKLYN |
| 840 Lefferts Ave, Brooklyn, NY 11203-1301 | 7184930300 | SUNY HEALTH SCIENCE CENTER AT BKLYN UNIVERSITY HOSPITAL OF BROOKLYN |
| Organization Legal Name | SUNY HEALTH SCIENCE CENTER AT BKLYN UNIVERSITY HOSPITAL OF BROOKLYN |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mudar Dalloul | Obstetrics/gynecology | Suny Health Science Center At Bklyn University Hospital of Brooklyn | 445 Lenox Rd, Brooklyn, NY 11203-2017 |
| Emily R Crane | Optometry | Suny Health Science Center At Bklyn University Hospital of Brooklyn | 33 W 42nd St, 10th Floor R1031, New York, NY 10036-8005 |
| Emily M Kus | Optometry | Suny Health Science Center At Bklyn University Hospital of Brooklyn | 33 W 42nd St, 10th Floor R1031, New York, NY 10036-8005 |
| Ryan T Ngo | Optometry | Suny Health Science Center At Bklyn University Hospital of Brooklyn | 33 W 42nd St, 10th Floor R1031, New York, NY 10036-8005 |
| Tal A Fligelman | Obstetrics/gynecology | Suny Health Science Center At Bklyn University Hospital of Brooklyn | 445 Lenox Rd, Brooklyn, NY 11203-2017 |
| Sherry S Liu | Optometry | Suny Health Science Center At Bklyn University Hospital of Brooklyn | 33 W 42nd St, 10th Floor R1031, New York, NY 10036-8005 |
| Rochelle Mozlin | Optometry | Suny Health Science Center At Bklyn University Hospital of Brooklyn | 33 W 42nd St, 10th Floor R1031, New York, NY 10036-8005 |
| Michael D Lanigan | Emergency Medicine | Suny Health Science Center At Bklyn University Hospital of Brooklyn | 470 Clarkson Ave, Brooklyn, NY 11203-2012 |
| Kwang N Choi | Radiation Oncology | Suny Health Science Center At Bklyn University Hospital of Brooklyn | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Lloyd P Haskes | Optometry | Suny Health Science Center At Bklyn University Hospital of Brooklyn | 33 W 42nd St, 10th Floor R1031, New York, NY 10036-8005 |
| Street Address |
840 LEFFERTS AVE |
| City | BROOKLYN |
| State | NY |
| Zip | 11203-1301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roosevelt Boursiquot | Internal Medicine | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| James M Willis | Emergency Medicine | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Orlando Sola | Family Medicine | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Richard Sadovsky | Family Medicine | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| John F Renz | General Surgery | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Henry Talus | Colorectal Surgery (proctology) | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Bonnie Arquilla | Emergency Medicine | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Kaycie Cobb | Internal Medicine | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Robert S Poston | Cardiac Surgery | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Mark H Krotowski | Family Medicine | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Milroy Fleary | Internal Medicine | 86 E 49th St, Brooklyn, NY 11203 | |
| Sumanth Channapatna-suresh | General Surgery | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Kaiser U Islam | Pediatric Medicine | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Brian K Mcneil | Urology | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Otis Jones | General Practice | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Marcia Edmond Bucknor | Family Medicine | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Ernest Garnier | Internal Medicine | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Llewellyn Hyacinthe | Urology | State of New York Comptrollers Office | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Kwang N Choi | Radiation Oncology | Suny Health Science Center At Bklyn University Hospital of Brooklyn | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Sanford Herman | Psychiatry | Suny Health Science Center At Bklyn University Hospital of Brooklyn | 840 Lefferts Ave, Brooklyn, NY 11203-1301 |
| Find all physicians in zip 11203 | |||
| City | BROOKLYN |
| Zip Code | 11203 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BROOKLYN + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.