BORIS DUDELZAK DO PC (NPI# 1477719128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477719128 |
| Entity Type | Organization |
| Organization Name | BORIS DUDELZAK DO PC |
| Practice Address |
2615 E 16th St 2nd Floor Brooklyn NY 11235-3805 |
| Mailing Address |
567 Donald Ln Woodmere NY 11598-1516 |
| Practice Telephone | 7182630300 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |
| Authorized Official Name | BORIS DUDELZAK (PRESIDENT) |
| Authorized Official Telephone | 7182630300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 221486 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
2615 E 16TH ST 2ND FLOOR |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11235-3805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558336479 | Zina Turovsky | Rehabilitation Practitioner | 2615 E 16th St, Ground Floor, Brooklyn, NY 11235-3805 | 2006-02-22 |
| 1508409079 | Irina Yegorov | Social Worker | 2615 E 16th St, Brooklyn, NY 11235 | 2019-10-28 |
| 1023451028 | Yelena Zaychik | Counselor | 2615 E 16th St, 2nd Floor, Brooklyn, NY 11235-3805 | 2013-04-10 |
| 1154613149 | Beatrice Biana Tester | Occupational Therapist | 2615 E 16th St, Brooklyn, NY 11235-3805 | 2011-05-09 |
| 1285872275 | Accredited Dermatology, Laser & Cosmetic Surgery, P.C. | Dermatology | 2615 E 16th St, 2nd Floor, Brooklyn, NY 11235-3805 | 2009-01-28 |
| 1942480009 | Medical Helplife, P.C. | Family Medicine | 2615 E 16th St, 3rd Floor, Brooklyn, NY 11235-3805 | 2007-11-06 |
| 1497946271 | Diana Grant | Physical Therapist | 2615 E 16th St, Brooklyn, NY 11235-3805 | 2007-08-06 |
| 1902928997 | Yakov Dudelzak | Dermatology | 2615 E 16th St, 2nd Floor, Brooklyn, NY 11235-3805 | 2007-04-03 |
| 1669598850 | Van Cortland Medical, PC | Family Medicine | 2615 E 16th St, 1 Floor, Brooklyn, NY 11235-3805 | 2007-03-21 |
| 1922112424 | Alexandre Karatchounov | Physical Medicine & Rehabilitation | 2615 E 16th St, Brooklyn, NY 11235-3805 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463466 | Sk Tutoring Center LLC | Speech-Language Pathologist | 3360 Shore Parkway, Suite C1, Brooklyn, NY 11235 | 2020-09-24 |
| 1841803665 | Svetlana Gaitchikova | Registered Nurse | 35 Seacrest Terrace, Brooklyn, NY 11235 | 2020-08-31 |
| 1427661198 | Kizzy Marie Salguero | Social Worker | 2625, East 14th Street Suite 200, Brooklyn, NY 11235 | 2020-08-24 |
| 1861015042 | Aspire Physical Therapy PC | Physical Therapist | 3000 Ocean Pkwy #2jtrump Village 1, Brooklyn, NY 11235 | 2020-05-22 |
| 1093337248 | Dhwani Patel | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Coney Island Hospi, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-05-11 |
| 1780203596 | Thomas George | Student in an Organized Health Care Education/Training Program | Nyc Health & Hospitals/coney Island, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-04-11 |
| 1326676537 | Olukayode Ahmed Busari | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway Brooklyn, New York, NY 11235 | 2020-04-01 |
| 1831759323 | Daniel Groisman | Case Manager/Care Coordinator | 2571 East 17th Street, Groundfloor, Brooklyn, NY 11235 | 2019-06-17 |
| 1013577998 | Aaron Rene Allick Douen | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway, 4th Floor 4n98, Brooklyn, NY 11235 | 2019-06-13 |
| 1609431162 | Anna Pozdner | Speech-Language Pathologist | 2571 E 17th St, Brooklyn, Brooklyn, NY 11235 | 2019-05-09 |
| Find all providers in zip 11235 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782972 | Home Physician Assistant Services PC | Family Medicine | 2119 E 15th St Ste B1, Brooklyn, NY 11229-4376 | 2020-08-26 |
| 1932719044 | Sophie Miro Fortier | Family Medicine | 70 Washington St Apt 7j, Brooklyn, NY 11201-1466 | 2020-08-04 |
| 1598380701 | Imaduddin Hashmi Md Pllc | Family Medicine | 527 Coney Island Ave, Brooklyn, NY 11218-3466 | 2020-06-12 |
| 1932723053 | Cherysh Foster | Family Medicine | 299 Malcolm X Blvd, Brooklyn, NY 11233-3996 | 2020-06-04 |
| 1497377246 | Central Brooklyn Physician Pllc | Family Medicine | 387 Linden Blvd Fl 1, Brooklyn, NY 11203-2823 | 2020-05-15 |
| 1194350066 | Visavis Health Care Medical Group of Ny, Pllc | Family Medicine | 3923 Fort Hamilton Parkway, Brooklyn, NY 11218-1916 | 2020-03-11 |
| 1679106330 | Tanya Sereitha Morant | Family Medicine | 193 17th St, Brooklyn, NY 11215-6977 | 2020-02-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1043778038 | Carla Ylose Jean-baptiste | Family Medicine | 1000 E 98th St # 2, Brooklyn, NY 11236-2327 | 2019-03-08 |
| 1295201424 | Yente Chesny | Family Medicine | 1122 Chestnut Ave, Brooklyn, NY 11230-5844 | 2018-10-15 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on BORIS DUDELZAK DO PC.
| 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.