Mrs. Ella Degtyareva
M.D. | Pediatrics | Female
Mrs. Ella Degtyareva, M.D. is a Brooklyn, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mrs. Ella Degtyareva is
8700 25th Ave, Suite 1-b, Brooklyn, New York - 11214-5443. She can be contacted on phone at
718-372-8099 and fax number 718-372-1068.
Mrs. Ella Degtyareva is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Ella Degtyareva is
1760499230 which was assigned by NPPES on 01 Aug, 2006 and it was last updated on 04 Dec, 2014.
Mrs. Ella Degtyareva license number is
210632 for Pediatrics (208000000X) in New York.
Mrs. Ella Degtyareva is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mrs. Ella Degtyareva basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Mrs. Ella Degtyareva |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Mrs. Ella Degtyareva address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8700 25th Ave, Suite 1-b
Brooklyn, NY, 11214-5443
United States |
|---|
| Phone Number : | 718-372-8099 |
|---|
| Fax Number : | 718-372-1068 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1760499230 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 01 Aug, 2006 |
|---|
| Last Updated On : | 04 Dec, 2014 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Ella Degtyareva are as mentioned. Primary taxonomy code for Mrs. Ella Degtyareva, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 210632 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Ella Degtyareva such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 02064395 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8700 25th Ave, Suite 1-b
Brooklyn, NY, 11214
United States |
|---|
| Phone Number : | 718-372-8099 |
|---|
| Fax Number : | 718-372-1068 |
|---|
Business Location:
Patients can refer following map for directions to
Mrs. Ella Degtyareva practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.