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NPI Code Detail

MEDICARE: DR. SVETLANA PINKUSOVICH M.D.

MEDICARE: DR. SVETLANA PINKUSOVICH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician202567NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111-3552139OTHERNYUNITED HEALTH CARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
33C2622OTHERNYHEALTH NET PPO
4W3E231OTHERNYMULTIPLAN
501655430OTHERNYAETNA HMO
62109363OTHERNYCIGNA
72594636OTHERNYGHI
85526573OTHERNYAETNA PPO, EPO
911-3552139OTHERNY1199 NBF
10202567OTHERNYHIP
113C2677OTHERNYGUARDIAN
12000272370301OTHERNYHEALTH PLUS
1363C631OTHERNYEMPIRE BC/BS
14P934579OTHERNYOXFORD

General Provider Information

NPI Number : 1427011121
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SVETLANA PINKUSOVICH M.D.
Provider Business Mailing Address
First Line : 1840 E 14TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-2800
Country : US
Telephone Number : 718-680-1600
Fax Number : 718-680-4473
Provider Business Practice Location Address
First Line : 8712 4TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-5110
Country : US
Telephone Number : 718-680-1600
Fax Number : 718-680-4473
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2006
Last Update Date : 08/03/2018

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