| Amr Etman, MD | |
|
18901 Northern Blvd, Flushing, NY 11358-2824 | |
| (917) 410-6905 | |
| (646) 878-6095 |
| Full Name | Amr Etman |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 18901 Northern Blvd, Flushing, 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 |
|---|---|---|---|
| 1932362985 | NPI | - | NPPES |
| 0101257200 | Other | VA | LICENSE |
| 8029A | Other | WY | WYOMING LICENSE# |
| 307009 | Other | WY | CHWHC MEDICARE |
| 830306180 | Other | WY | TAX ID |
| 124781600 | Medicaid | WY |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Amr Etman, MD 18901 Northern Blvd, Flushing, NY 11358-2824 Ph: (917) 410-6905 | Amr Etman, MD 18901 Northern Blvd, Flushing, NY 11358-2824 Ph: (917) 410-6905 |
Dr. Yi-ju Amy Chen, MD, MPH Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-2000 | |
Dr. Ivan Manjun Ngai, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 14601 45th Ave, Flushing, NY 11355 Phone: 718-670-3143 | |
Devbala Ramanathan, MDFACOG Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 43-49 Smart Street, Flushing, NY 11355 Phone: 718-886-1525 Fax: 718-661-2244 | |
Ms. Tsz Wan Li, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3808 Union St Ste 3g, Flushing, NY 11354 Phone: 718-939-0808 | |
Dr. Gary Scott Eglinton, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1517 Fax: 516-437-4167 | |
Mrs. Meera I Prabhat, PHYSICIAN PC Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 14416 Holly Ave, Flushing, NY 11355 Phone: 718-445-8994 Fax: 718-445-9035 | |
Christine Ejin Kim, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 131-72 40th Road, Flushing, NY 11354 Phone: 718-886-1287 Fax: 718-886-3903 |