| 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 | Nephrology |
| Experience | 19 Years |
| Location | 157 E Woodside Ave, East Patchogue, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Long Island Community Hospital | Patchogue, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New York University | 1355232422 | 5027 |
| 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 |
| 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: Medicare Enrolled 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: May Accept 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 | |
Natalie Radino, MS, RN, ANP, AGNP-C Nephrology Medicare: Accepting Medicare Assignments Practice Location: 101 Hospital Rd, East Patchogue, NY 11772 Phone: 631-654-7463 | |
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 |