| Diala A Jaber, MD | |
| 
					232 E Main St, Suite 2, Huntington, NY 11743-2920  | |
| (631) 673-6669 | |
| (631) 673-6071 | 
| Full Name | Diala A Jaber | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine | 
| Location | 232 E Main St, Huntington, 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 | 
|---|---|---|---|
| 1982749479 | NPI | - | NPPES | 
| CP671 | Other | NY | OXFORD HEALTH PLANS | 
| 196793 | Other | NY | LICENSE NUMBER | 
| 860331 | Other | NY | EMPIRE BLUE CROSS BLUE SH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 196793 (New York) | Primary | 
| Entity Name | North Shore-lij Medical Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262  | 
| Entity Name | Fulton Medical Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1841635133 PECOS PAC ID: 8527201540 Enrollment ID: O20130823000424  | 
| Entity Name | Brookview Medical Associates Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871965855 PECOS PAC ID: 9537420450 Enrollment ID: O20180309000532  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Diala A Jaber, MD 232 E Main St, Suite 2, Huntington, NY 11743-2920 Ph: (631) 673-6669  | Diala A Jaber, MD 232 E Main St, Suite 2, Huntington, NY 11743-2920 Ph: (631) 673-6669  | 
Richard B Schwarz, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 325 Park Ave, Huntington, NY 11743 Phone: 631-351-3784 Fax: 631-547-5349  | |
Dr. Sotir Polena, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 172 E Main St, Huntington, NY 11743 Phone: 631-385-0022 Fax: 631-385-0896  | |
Dr. James I Klepper, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 E Main St, Suite 200, Huntington, NY 11743 Phone: 631-549-5700 Fax: 631-549-1991  | |
Dr. Adam Ross Davis, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 172 E Main St, Huntington, NY 11743 Phone: 631-385-0022 Fax: 631-385-0896  | |
Dr. Jalil Anwar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 161 E Main St, Huntington, NY 11743 Phone: 631-760-8207 Fax: 631-549-1084  | |
Frederick Joseph Gandolfo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 E Main St Ste 1-4, Huntington, NY 11743 Phone: 631-350-6077  | |
Dr. Vidal Evan Luchana, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 120 New York Ave Ste 4w, Huntington, NY 11743 Phone: 631-423-9809 Fax: 631-271-3205  |