LONG BEACH FAMILY MEDICINE PC (NPI# 1629299516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629299516 |
Entity Type | Organization |
Organization Name | LONG BEACH FAMILY MEDICINE PC |
Practice Address |
10 Franklin Blvd Apt 102 Long Beach NY 11561-4511 |
Practice Telephone | 5168890100 |
Mailing Telephone | 5168890100 |
Mailing Fax Number | 5168972425 |
Enumeration Date | 2007-05-01 |
Last Update Date | 2015-09-25 |
Authorized Official Name | SERGEY KULIKOV (PRES.) |
Authorized Official Telephone | 5168890100 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
10 FRANKLIN BLVD APT 102 |
City | LONG BEACH |
State | NY |
Zip Code | 11561-4511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083246961 | Romina Zitofsky | Community Health Worker | 65 Pacific Blvd, Long Beach, NY 11561 | 2020-02-07 |
1710519038 | Can Flei Corp. | Massage Therapist | 116 Taft Ave., Long Beach, NY 11561 | 2020-02-05 |
1073032199 | Sherrie Cooper | Behavior Technician | 554 East Pine Street, Long Beach, NY 11561 | 2017-09-11 |
1437679354 | Alana Doonachar | Physician Assistant | 100 Belmont Avenue, Long Beach, NY 11561 | 2017-06-21 |
1023547452 | Tina Bayer | Nurse Practitioner | 427 East Chester Street 2nd Floor, Long Beach, NY 11561 | 2017-06-08 |
1316483977 | Taylor Nicole Paganini | Massage Therapist | 252 Grand Blvd, Long Beach, NY 11561 | 2017-01-06 |
1265803688 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 85 East Park Ave, Long Beach, NY 11561 | 2015-10-12 |
1588048797 | Carol Bell | Behavioral Analyst | 121 Harding Avenue, Long Beach, NY 11561 | 2015-07-17 |
1811378821 | Patricia Harris | Case Manager/Care Coordinator | 72 Illinios Avenue, Long Beach, NY 11561 | 2015-06-16 |
1164801916 | Antonia Dileo | Marriage & Family Therapist | 36 Prescott Street, Lido Beach, NY 11561 | 2015-05-27 |
Find all providers in zip 11561 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
1306942073 | Mark Dressner | Family Medicine | 455 E Columbia St, Suite 201-206, Long Beach, CA 90806-1620 | 2006-09-16 |
1447356621 | Eing-min Chang | Family Medicine | 2690 Pacific A Ve., Ste 290, Long Beach, CA 90806-2631 | 2006-09-15 |
1093159493 | Riarowena R Andrade | Family Medicine | 450 E Spring St Ste 1, Long Beach, CA 90806-1625 | 2013-04-29 |
1982969838 | Brian Takeshi Kawasaki | Family Medicine | 1333 Chestnut Ave, Long Beach, CA 90813-2944 | 2012-07-06 |
1710297262 | Sanchez Long Beach Clinic Inc | Family Medicine | 2777 Pacific Ave, Suite 203, Long Beach, CA 90806-2625 | 2010-10-18 |
1447445218 | Tammy Paulette Miller | Family Medicine | 1333 Chestnut Ave, Room 205, Long Beach, CA 90813-2944 | 2007-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083220677 | Ellen Mcstravick | Family Medicine | 5530 Sheridan Dr Ste 2, Williamsville, NY 14221-3730 | 2020-09-18 |
1598384489 | Jimmy Gelin | Family Medicine | 18639 140th Ave, Springfield Gardens, NY 11413-2617 | 2020-04-11 |
1871145011 | Prince Aboagye Dankwah | Family Medicine | 157 Barnes Rd, Washingtonville, NY 10992-1931 | 2019-07-09 |
1194206441 | Madison Physician Practice PC | Family Medicine | 983 Park Ave # 1d, New York, NY 10028-0808 | 2018-08-24 |
1245717115 | Darlean James | Family Medicine | 183 Park St Ste 5678, Malone, NY 12953 | 2018-07-24 |
1609380617 | Donna Yu | Family Medicine | 6402 8th Ave Ste 301, Brooklyn, NY 11220-4720 | 2017-11-29 |
1720591688 | Jane S Ferraina | Family Medicine | 259 Boughton Hill Rd, Honeoye Falls, NY 14472-9706 | 2017-11-14 |
1245750918 | Long Island Nurse Practitioners | Family Medicine | 97 Ronni Dr, East Meadow, NY 11554-1330 | 2017-06-23 |
1548700925 | Special Medical PC | Family Medicine | 699 B Stanley Avenue, Brooklyn, NY 11207 | 2017-03-03 |
1043762404 | Ji Medical Group PC | Family Medicine | 3825 Parsons Blvd, Ste 1g, Flushing, NY 11354-5837 | 2016-11-01 |
Find all providers with the same taxonomy |
City | LONG BEACH |
Zip Code | 11561 |
Please comment or provide details below to improve the information on LONG BEACH FAMILY MEDICINE 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.