Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
KINGS BAY MEDICAL HEALTH P.C.
Active
Organization
KINGS BAY MEDICAL HEALTH P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRY ILYEVSKY MD (MEDICAL DIRECTOR)
(212) 427-2200
Entity
Organization
Contact information
Practice address
2069 2ND AVE, NEW YORK, NY 10029-4101
(212) 427-2200
Mailing address
2069 2ND AVE, NEW YORK, NY 10029-4101
(212) 427-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
260048
NY
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up