| Alla R Joutovsky, MD | |
| 222 Station Plz N, Suite 606, Mineola, NY 11501-3808 | |
| (516) 663-2468 | |
| (516) 663-8824 | 
| Full Name | Alla R Joutovsky | 
|---|---|
| Gender | Female | 
| Speciality | Pathology - Anatomic Pathology | 
| Location | 222 Station Plz N, 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 | 
|---|---|---|---|
| 1730141847 | NPI | - | NPPES | 
| 02677576 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207ZP0101X | Pathology - Anatomic Pathology | 229396 (New York) | Primary | 
| Entity Name | New York University | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 | 
| Entity Name | Mount Sinai School Of Medicine | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508127531 PECOS PAC ID: 6406096544 Enrollment ID: O20130712000368 | 
| Entity Name | Winthrop Community Medical Affiliates Pc | 
|---|---|
| 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 | 
|---|---|
| Alla R Joutovsky, MD 222 Station Plz N, Suite 606, Mineola, NY 11501-3808 Ph: (516) 663-2468 | Alla R Joutovsky, MD 222 Station Plz N, Suite 606, Mineola, NY 11501-3808 Ph: (516) 663-2468 | 
| Dr. Xiaoling Xiong,  Pathology Medicare: Medicare Enrolled Practice Location: 222 Station Plz N, 222 Station Piaza N - Ste 620, Mineola, NY 11501 Phone: 516-663-4560 Fax: 516-663-4581 | |
| Andrea S. Flieder, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 222 Station Plz N, Suite 606, Mineola, NY 11501 Phone: 516-663-2468 Fax: 516-663-8824 | |
| Jane Date Hon,  Pathology Medicare: Accepting Medicare Assignments Practice Location: 222 Station Plz N Ste 618, Mineola, NY 11501 Phone: 516-663-2166 | |
| Elena Selbs, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 222 Station Plz N, Suite 606, Mineola, NY 11501 Phone: 516-663-2468 Fax: 516-663-8824 | |
| Jianhong Zhou, MD Pathology Medicare: May Accept Medicare Assignments Practice Location: 222 Station Plz N, Suite 606, Mineola, NY 11501 Phone: 516-663-2468 Fax: 516-663-8824 | |
| Derek Jones, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 222 Station Plz N Ste 618, Mineola, NY 11501 Phone: 516-663-8524 | |
| Jordan Baum, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 222 Station Plz N Ste 618, Mineola, NY 11501 Phone: 317-523-0841 |