ANDREW IVANSON (NPI# 1437197928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437197928 |
| Entity Type | Individual |
| Full Name | ANDREW IVANSON |
| Other Name | ANDREY IVANUSHKIN |
| Credential | M.D. |
| Practice Address |
726 Avenue Z Brooklyn NY 11223-6238 |
| Mailing Address |
4817 Bedford Ave 3a Brooklyn NY 11235-2783 |
| Practice Telephone | 7188727373 |
| Mailing Telephone | 6465419779 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
209134 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01936034 | 05 |
| Street Address |
726 AVENUE Z |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11223-6238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578531521 | Eugene Koro | Physical Therapist | 726 Avenue Z, Brooklyn, NY 11223-6322 | 2006-03-08 |
| 1366614455 | Dental Star | Health Maintenance Organization | 726 Avenue Z, Brooklyn, NY 11223-6322 | 2008-03-28 |
| 1235313008 | European Physical Therapy P C | Physical Medicine & Rehabilitation | 726 Avenue Z, Brooklyn, NY 11223-6322 | 2007-12-28 |
| 1760420723 | Ny Neurorecovery | Psychiatry & Neurology | 726 Avenue Z, Brooklyn, NY 11223-6238 | 2006-06-03 |
| 1467405969 | Hope and Health Medical Care PC | Internal Medicine | 726 Avenue Z, First Floor, Suite 2, Brooklyn, NY 11223-6238 | 2006-05-18 |
| 1306806419 | Martha Karetny | Internal Medicine | 726 Avenue Z, Suite 2, Brooklyn, NY 11223-6322 | 2006-03-23 |
| 1114987237 | Anna Marinovich | Internal Medicine | 726 Avenue Z, Brooklyn, NY 11223-6322 | 2006-03-23 |
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|---|---|---|---|---|
| 1174123913 | Be The Change Occcupational Therapy PC | Occupational Therapist | Garden of Eden Home for Adults (ot/pt Office), 1608 Stillwell Ave, Brooklyn, NY 11223 | 2020-10-30 |
| 1508471566 | 247 Supply, Inc. | Durable Medical Equipment & Medical Supplies | 908 Avenue U, Brooklyn, NY 11223 | 2020-09-15 |
| 1184269755 | Core Physical Therapy Services PC | Physical Therapist | 2003 Coney Island Ave, Brooklyn, NY 11223 | 2019-11-07 |
| 1558903658 | Solar Health Physical Therapy and Acupuncture P.C. | Acupuncturist | 339 Kings Highway, Brooklyn, NY 11223 | 2019-10-10 |
| 1356810543 | Victorian Aznar | Physical Therapist | 1750 W 9th St, Brooklyn, NY 11223 | 2018-11-16 |
| 1669990149 | Avraham Chaim Knobel | Social Worker | 2020 Coney Island Avenue, Brooklyn, NY 11223 | 2017-09-05 |
| 1386174373 | Orly Meyer | Occupational Therapist | 2092 E 7th St, Brooklyn, NY 11223 | 2017-06-13 |
| 1790223840 | Roshauna Joseph | Licensed Practical Nurse | 2326 West 8th Street, Brooklyn, NY 11223 | 2017-02-09 |
| 1942747142 | Ace Management Am Corp | Case Management | 2375 East 3rd Street Brooklyn, 1a, Brooklyn, NY 11223 | 2017-01-25 |
| 1518401140 | Auburn Heller | Speech-Language Pathologist | 64 Ave X, Speech Dept P721k, Brooklyn, NY 11223 | 2016-12-16 |
| Find all providers in zip 11223 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659836518 | David T Finkelstein | Psychiatry & Neurology | 3619 Bedford Ave Apt 1b, Brooklyn, NY 11210-5254 | 2019-02-05 |
| 1033523717 | Bonnie Wong | Psychiatry & Neurology | 451 Clarkson Ave Rm B5110, Brooklyn, NY 11203-2097 | 2014-06-20 |
| 1942612007 | David Qiyuan Mao | Psychiatry & Neurology | 829 57th Street, 5th Fl, Brooklyn, NY 11220-3677 | 2014-05-23 |
| 1346661998 | Saima Warraich | Psychiatry & Neurology | 514 Rockaway Pkwy Apt A1, Brooklyn, NY 11212-3113 | 2013-12-29 |
| 1316210784 | Vera Zablozki | Psychiatry & Neurology | 247 W End Ave, Brooklyn, NY 11235-4903 | 2012-02-16 |
| 1831461375 | Pierre G Zalzal Md PC | Psychiatry & Neurology | 450 Bay Ridge Pkwy, Brooklyn, NY 11209-2702 | 2012-01-30 |
| 1700172756 | Gary Miller Md PC | Psychiatry & Neurology | 1745 E 15th St, Brooklyn, NY 11229-2084 | 2011-06-28 |
| 1336431907 | Vitaliy Zhivotenko | Psychiatry & Neurology | 2279 Coney Island Ave Ste 2a, Brooklyn, NY 11223-3337 | 2011-05-13 |
| 1851609101 | Platinum Care Medical Pllc | Psychiatry & Neurology | 8201 Bay Pkwy, Unit 1e, Brooklyn, NY 11214-2663 | 2010-09-21 |
| 1609190289 | Domenick Veneto Lepore | Psychiatry & Neurology | 988 77th Street, Domenick V. Lepore, Brooklyn, NY 11228-2322 | 2010-03-25 |
| 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.