| Brijesh Kumar Tantuwaya, MD | |
| 
					1240 New Scotland Rd Ste 203, Slingerlands, NY 12159-9222  | |
| (518) 478-9423 | |
| Not Available | 
| Full Name | Brijesh Kumar Tantuwaya | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 1240 New Scotland Rd Ste 203, Slingerlands, 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 | 
|---|---|---|---|
| 1144355520 | NPI | - | NPPES | 
| 02869487 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 242101 (New York) | Primary | 
| Entity Name | Ellis Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1487644993 PECOS PAC ID: 5890607410 Enrollment ID: O20031103000406  | 
| Entity Name | Samaritan Hospital Of Troy, New York | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043267727 PECOS PAC ID: 6507770070 Enrollment ID: O20031118000782  | 
| Entity Name | St Peters Hospital Of The City Of Albany | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1518042357 PECOS PAC ID: 2668460072 Enrollment ID: O20040504001301  | 
| Entity Name | St. Peter's Health Partners Medical Associates, P.c. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750626834 PECOS PAC ID: 6103061189 Enrollment ID: O20130321000567  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brijesh Kumar Tantuwaya, MD Po Box 14890, Albany, NY 12212-4890 Ph: () -  | Brijesh Kumar Tantuwaya, MD 1240 New Scotland Rd Ste 203, Slingerlands, NY 12159-9222 Ph: (518) 478-9423  | 
Michael Patrick Looney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1220 New Scotland Rd, Suite 203, Slingerlands, NY 12159 Phone: 518-439-2273 Fax: 518-439-2834  | |
Veronica Emily Armbruster, FNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1220 New Scotland Rd, Suite 203, Slingerlands, NY 12159 Phone: 518-439-2273 Fax: 518-439-2834  | |
Jennifer Kim Larner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1220 New Scotland Rd, Suite 203, Slingerlands, NY 12159 Phone: 518-439-2273 Fax: 518-439-2834  | |
Daniel D Fernandez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1220 New Scotland Rd Ste 203, Slingerlands, NY 12159 Phone: 518-439-2273  | |
Holly Swanson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1220 New Scotland Rd, Suite 203, Slingerlands, NY 12159 Phone: 518-439-2273 Fax: 518-439-2834  | |
Dr. Paul E Gaffuri, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1240 New Scotland Rd Ste 203, Slingerlands, NY 12159 Phone: 518-478-9423  |