| Brian Su, MD | |
|
157 E Woodside Ave, East Patchogue, NY 11772-1421 | |
| (631) 475-1900 | |
| (631) 475-1955 |
| Full Name | Brian Su |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 157 E Woodside Ave, East Patchogue, 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 |
|---|---|---|---|
| 1205307154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 317628 (New York) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 317628 (New York) | Primary |
| Entity Name | The Brookdale Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720028772 PECOS PAC ID: 4284545799 Enrollment ID: O20031120000600 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185 |
| 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 | Interfaith Professional Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457643991 PECOS PAC ID: 9931378171 Enrollment ID: O20110804000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Su, MD 157 E Woodside Ave, East Patchogue, NY 11772-1421 Ph: (631) 475-1900 | Brian Su, MD 157 E Woodside Ave, East Patchogue, NY 11772-1421 Ph: (631) 475-1900 |
Joel Myladoor Chandy, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 260 Patchogue Yaphank Rd, East Patchogue, NY 11772 Phone: 631-289-0300 | |
Qazi Qaisar Afzal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 285 Sills Rd, Building 7, Suite B, East Patchogue, NY 11772 Phone: 631-654-4577 Fax: 631-654-3391 | |
Amit Sankar Mandal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Rd Ste 201, East Patchogue, NY 11772 Phone: 631-475-6900 | |
Shahriar Joseph Khalili, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 285 Sills Road, Building #14, East Patchogue, NY 11772 Phone: 631-447-8300 Fax: 631-447-8872 | |
Ajish Pillai, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 260 Patchogue Yaphank Rd Ste C, East Patchogue, NY 11772 Phone: 215-762-7000 | |
Robert M Chernaik, MD Nephrology Medicare: Medicare Enrolled Practice Location: 285 Sills Rd Bldg 4d, East Patchogue, NY 11772 Phone: 631-654-1800 Fax: 631-240-9181 |