Medecal Care Kanevsky PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

208006 Issued in NY

Legal business name

MEDECAL CARE KANEVSKY PC

Practice address

1763 E 12TH St
Brooklyn, NY 11229-1013

Phone

(718) 376-7766

Fax

(718) 376-5563

NPI assigned

May 20, 2009

Last updated

Jun 22, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Zhanna Kanevsky, MD

Title

Director

Phone

(718) 376-7766

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1063647972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291013",
            "telephone_number": "718-376-7766",
            "fax_number": "718-376-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291013",
            "telephone_number": "718-376-7766",
            "fax_number": "718-376-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDECAL CARE KANEVSKY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "KANEVSKY",
        "authorized_official_first_name": "ZHANNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-376-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "208006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.