| Angela Coultman, MD | |
|
19 Bradhurst Ave, Department Of Pediatrics Suite 2400, Hawthorne, NY 10532-2140 | |
| (914) 593-8850 | |
| (914) 593-8833 |
| Full Name | Angela Coultman |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 19 Bradhurst Ave, Hawthorne, 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 |
|---|---|---|---|
| 1871554709 | NPI | - | NPPES |
| 02581675 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 232700 (New York) | Primary |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Entity Name | Westchester Health Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386188647 PECOS PAC ID: 7315221751 Enrollment ID: O20170316000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Coultman, MD Munger Pavillion Rm 312, Department Of Pediatrics, New York Medical College, Valhalla, NY 10595-2140 Ph: (914) 493-7235 | Angela Coultman, MD 19 Bradhurst Ave, Department Of Pediatrics Suite 2400, Hawthorne, NY 10532-2140 Ph: (914) 593-8850 |
Dr. Andrew Joseph Bellantoni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 19 Skyline Dr Ste 800s, Hawthorne, NY 10532 Phone: 914-594-2150 | |
Jose L Munoz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 19 Bradhurst Ave, Ste. 1400, Hawthorne, NY 10532 Phone: 914-493-8333 Fax: 914-594-4366 | |
Dr. Allyson M Flower, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19 Skyline Dr, 1n-j08, Hawthorne, NY 10532 Phone: 914-493-7997 | |
Maria E Lombardi, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 19 Bradhurst Ave, Ste. 800, Hawthorne, NY 10532 Phone: 914-593-8850 Fax: 914-593-8833 | |
Dr. Christa Linda Miliaresis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19 Bradhurst Ave, Department Of Pediatric Cardiology, Hawthorne, NY 10532 Phone: 914-594-4370 | |
Jeffrey E. Vergales, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 19 Bradhurst Ave Ste 1400, Hawthorne, NY 10532 Phone: 914-614-4250 | |
Aliza Esther Gardenswartz, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 19 Bradhurst Ave, Hawthorne, NY 10532 Phone: 914-493-7997 |