CONEY ISLAND MEDICAL SERVICES PC


Address: 178 Avenue S, Brooklyn, NY 11223-2633
Phone: 7187596707

CONEY ISLAND MEDICAL SERVICES PC (NPI# 1174870059) 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) 1174870059
Entity Type Organization
Organization Name CONEY ISLAND MEDICAL SERVICES PC
Practice Address 178 Avenue S
Brooklyn
NY 11223-2633
Practice Telephone 7187596707
Practice Fax Number 7187585566
Mailing Telephone 7187596707
Mailing Fax Number 7187596708
Enumeration Date 2012-08-09
Last Update Date 2012-12-12
Authorized Official Name EWALD J ANTOINE (PRESIDENT)
Authorized Official Telephone 7187585544
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers
N 225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 111N00000X Chiropractor Chiropractic Providers
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians
N 208100000X Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians
N 208D00000X General Practice Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01644706 05

Office Location

Street Address 178 AVENUE S
City BROOKLYN
State NY
Zip Code 11223-2633

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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669099115 East New York Medical Healthcare PC Internal Medicine 2673 Atlantic Ave, Brooklyn, NY 11207-2801 2020-07-01
1083242978 Quratulain Nasir Internal Medicine 8301 Bay Pkwy Apt 603, Brooklyn, NY 11214-2692 2020-03-28
1831723725 Pitkin Medical Office P.C. Internal Medicine 1746 Pitkin Ave Fl 1, Brooklyn, NY 11212-6707 2020-02-28
1083246920 Dora Johnson Internal Medicine 374 Stockholm St # B, Brooklyn, NY 11237-4006 2020-02-09
1245876143 Richard Casseus Internal Medicine 6525 Avenue N, Brooklyn, NY 11234-5622 2019-11-26
1598309569 Md Care Now P.C. Internal Medicine 1849 Utica Ave, Brooklyn, NY 11234-2122 2019-11-03
1609410968 Zaki Nakach, Md PC Internal Medicine 1309 Avenue P Ste 1, Brooklyn, NY 11229-1184 2019-10-30
1881158897 Yuanli Xie Medical PC Internal Medicine 749 61st St Ste 403, Brooklyn, NY 11220-5163 2019-01-23
1689146417 Frederik Peter Lindberg Internal Medicine 30 Garfield Pl Apt 2e, Brooklyn, NY 11215-1963 2018-12-18
1598233033 Greenfield Medical Internal Medicine 1716 E 28th St, Brooklyn, NY 11229-2513 2018-11-02
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Competitor

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City BROOKLYN
Zip Code 11223

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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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