Dr Datev Pidedjian, MD | |
259 1st St, Mineola, NY 11501-3957 | |
(516) 572-6131 | |
Not Available |
Full Name | Dr Datev Pidedjian |
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Gender | Male |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 259 1st St, Mineola, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699730424 | NPI | - | NPPES |
02061076 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 194567 (New York) | Primary |
Entity Name | New York University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
Entity Name | Winthrop Community Medical Affiliates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457873077 PECOS PAC ID: 5698092385 Enrollment ID: O20150317001669 |
Mailing Address | Practice Location Address |
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Dr Datev Pidedjian, MD 259 1st St, Mineola, NY 11501-3957 Ph: () - | Dr Datev Pidedjian, MD 259 1st St, Mineola, NY 11501-3957 Ph: (516) 572-6131 |
Manisha Sakore, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-3853 Fax: 516-663-8955 | |
Dr. Kim Ann Rutherford, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 717-531-8955 | |
Dr. Louise Marie Castiglia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 156 First Street, Mineola, NY 11501 Phone: 516-741-4082 | |
Estela De Los Angeles Noyola, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 259 1st St Dept Of, Mineola, NY 11501 Phone: 516-663-2288 Fax: 516-663-8955 | |
Kaitlin Boehm, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-8766 | |
Dr. Julie Weiser-shlefstein, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 County Seat Drive, Mineola, NY 11501 Phone: 516-227-9501 Fax: 517-227-9644 | |
Rolando Capati Guevarra, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 222 Station Plz N, Suite 408, Mineola, NY 11501 Phone: 516-663-8534 Fax: 516-663-8297 |