Coney Island Physicians PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CONEY ISLAND PHYSICIANS PC

Practice address

2911 Surf Ave
Brooklyn, NY 11224-1705

Phone

(718) 373-0400

Fax

(718) 373-0206

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Pavel Yutsis, MD

Title

President

Phone

(719) 373-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235170168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241705",
            "telephone_number": "718-373-0400",
            "fax_number": "718-373-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241705",
            "telephone_number": "718-373-0400",
            "fax_number": "718-373-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEY ISLAND PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YUTSIS",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-373-0400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02647092",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Confident Dental PC
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• Frank Conforti

• 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 Aug 22, 2020; 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.