| Amir Miodovnik, MD | |
|
20 E 13th St, 3f, New York, NY 10003-4471 | |
| (212) 241-5756 | |
| Not Available |
| Full Name | Amir Miodovnik |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 20 E 13th St, New York, 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 |
|---|---|---|---|
| 1437139227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036-109714 (Illinois) | Secondary |
| 208000000X | Pediatrics | 249904 (New York) | Primary |
| Entity Name | Maimonides Faculty Practice Plan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597 |
| Entity Name | Mmc Pediatrics Faculty Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285648154 PECOS PAC ID: 0143406918 Enrollment ID: O20110511000496 |
| Mailing Address | Practice Location Address |
|---|---|
| Amir Miodovnik, MD 20 E 13th St, 3f, New York, NY 10003-4471 Ph: () - | Amir Miodovnik, MD 20 E 13th St, 3f, New York, NY 10003-4471 Ph: (212) 241-5756 |
Dr. Robert Michael Lembo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 462 1st Ave, New York, NY 10016 Phone: 212-263-6425 | |
Dr. Sean Michael Bailey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 1st Ave, Suite 7a, New York, NY 10016 Phone: 212-263-7477 | |
Dr. Diana Trevas Fleisher, Pediatrics Medicare: Medicare Enrolled Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-3293 Fax: 212-263-3522 | |
Dr. Nooralam Ahmad Rai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3959 Broadway # Chc701, New York, NY 10032 Phone: 212-305-5122 Fax: 212-305-6103 | |
Deborah Valentine Shamsian, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 21 W 86th St, New York, NY 10024 Phone: 212-304-5800 | |
Kara Alex-ann Beliard, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1468 Madison Ave, New York, NY 10029 Phone: 122-241-6936 | |
Morgan Bowling, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 281 1st Ave, New York, NY 10003 Phone: 212-420-2860 |