Interfaith Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

016742-1 Issued in NY

Legal business name

INTERFAITH MEDICAL CENTER

Practice address

1545 Atlantic Ave
Brooklyn, NY 11213-1122

Phone

(718) 613-4984

Fax

(718) 613-4319

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sonya Ilizirov

Title

Staff Psychologist

Phone

(718) 613-4984

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801007893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 AVENUE X",
            "address_2": "3 F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236052",
            "telephone_number": "347-254-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131122",
            "telephone_number": "718-613-4984",
            "fax_number": "718-613-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERFAITH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ILIZIROV",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "STAFF PSYCHOLOGIST",
        "authorized_official_telephone_number": "718-613-4984",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "016742-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interfaith Medical Center
• Interfaith Medical Center
• Interfaith Medical Center
• Interfaith Medical Center
• Interfaith Medical Center
• Interfaith Medical Supply
• Interfaith Professional Physician Services, P.C.
• Interfaith Psychiatry Services, P.C.
• Interfaith Radiology
• Interhealth Medical Care PC

• General Acute Care Hospital in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Acute Care Hospital 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.