| Amanda M Roublick, MD | |
|
1256 Culver Ave., Utica, NY 13501 | |
| (315) 738-7186 | |
| (315) 738-0188 |
| Full Name | Amanda M Roublick |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1256 Culver Ave., Utica, 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 |
|---|---|---|---|
| 1720370158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A122395 (California) | Secondary |
| 208000000X | Pediatrics | 279063-1 (New York) | Primary |
| Entity Name | Mvhs Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda M Roublick, MD 1256 Culver Ave., Utica, NY 13501 Ph: (315) 738-7186 | Amanda M Roublick, MD 1256 Culver Ave., Utica, NY 13501 Ph: (315) 738-7186 |
Dr. Matthew Anthony Mittiga, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 117 Business Park Dr, Utica, NY 13502 Phone: 315-798-1543 Fax: 315-798-1556 | |
Daniel Lewis Zeidner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1450 Champlin Ave, Utica Pediatrics, Utica, NY 13502 Phone: 315-732-7909 Fax: 315-793-9307 | |
Elaine Tsukayama, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 117 Business Park Dr, Utica, NY 13502 Phone: 315-798-1543 | |
Rhea Ivins, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2212 Genesee St, Utica, NY 13502 Phone: 315-734-3161 Fax: 315-734-3411 | |
Dr. Susan M Blatt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 406 Elizabeth St, Utica, NY 13501 Phone: 315-798-5747 Fax: 315-798-1057 | |
Dr. Rebecca A Deeley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Hospital Dr, Utica, NY 13502 Phone: 315-624-6000 | |
Dr. Lee Avramidis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1656 Champlin Ave, Utica, NY 13502 Phone: 315-732-1191 |