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IS MEDICAL P.C. NPI 1811070048


NPI Information

NPI: 1811070048
Provider Name: IS MEDICAL P.C.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
621 GRAVESEND NECK RD
BROOKLYN, NY
ZIP 11223
Phone: (718) 382-6669
Get Directions

IS MEDICAL P.C. is a neurology psychiatry neurology in Brooklyn, NY. The provider is 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. IS MEDICAL P.C. NPI is 1811070048. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

621 GRAVESEND NECK RD
BROOKLYN, NY
ZIP 11223-126
Phone: (718) 382-6669
Fax: (718) 382-6646

The provider's authorized official is Igor Smelyansky .
The authorized official title is President and has the following contact phone number (718) 377-4278.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 1/27/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology230415NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1533N71MEDICARE UPINNEW YORK
206158GMEDICARE ID-TYPE UNSPECIFIEDNEW YORKGHI QUEENS GROUP #
3Y05995MEDICARE UPINNEW YORK
4WU4751MEDICARE ID-TYPE UNSPECIFIEDNEW YORKEMPIRE BROOKLYN GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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