NPI: 1649604810 · OCEANSIDE, NY 11572 · Internal Medicine Physician · NPI assigned 08/24/2013
| Authorized Official | KOLDAYEV, ROMAN (PRESIDENT) |
| NPI Enumeration Date | 08/24/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 15 | $445.92 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 15 | 12 | $445.92 |