Coney Island Healthcare Medical P.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

228513 Issued in NY

Legal business name

CONEY ISLAND HEALTHCARE MEDICAL P.C.

Practice address

2882 W 15TH St FL 2
Brooklyn, NY 11224-2770

Phone

(718) 766-8883

Fax

(775) 305-4723

NPI assigned

Jan 18, 2016

Organization subpart

No

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

Authorized official

Name

Lucy Palamarchuk

Title

Billing Manager

Phone

(917) 309-7775

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453075200000",
    "number": "1841657111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2882 W 15TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2882 W 15TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242770",
            "telephone_number": "718-766-8883",
            "fax_number": "775-305-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEY ISLAND HEALTHCARE MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A",
        "authorized_official_last_name": "PALAMARCHUK",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "917-309-7775"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "228513",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coney Island CDT
• Coney Island Chemist Inc
• Coney Island Dental P.C.
• Coney Island Family Eyecare
• Coney Island Health Services, Inc. (Saul's Pharmacy)
• Coney Island Hospital
• Coney Island Hospital
• Coney Island Hospital
• Coney Island Medical Diagnostic Services P C
• Coney Island Medical Practice Plan

• Cardiovascular Disease Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.