| Diana Koltovski, DO | |
|
96-10 Metropolitan Ave, Forest Hills, NY 11375-6625 | |
| (718) 459-0400 | |
| (718) 670-6479 |
| Full Name | Diana Koltovski |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 96-10 Metropolitan Ave, Forest Hills, 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 |
|---|---|---|---|
| 1225616683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 332550 (New York) | Primary |
| Entity Name | Advantagecare Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336578772 PECOS PAC ID: 2365735008 Enrollment ID: O20160719000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Koltovski, DO 55 Water St Fl 2, New York, NY 10041-0010 Ph: (646) 680-2888 | Diana Koltovski, DO 96-10 Metropolitan Ave, Forest Hills, NY 11375-6625 Ph: (718) 459-0400 |
Michael C Crismali, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11835 Queens Blvd Ste 400, Forest Hills, NY 11375 Phone: 646-722-7610 | |
Esther Chaim, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10910 Queens Blvd, Forest Hills, NY 11375 Phone: 718-459-1111 Fax: 718-459-1033 | |
Dr. Louis Philip Rotkowitz, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 104-20 Queens Blvd, Apt. 12m, Forest Hills, NY 11375 Phone: 518-578-3764 Fax: 518-213-0334 | |
Claudiane Mouafo Madzoom, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6970 Grand Central Pkwy, Forest Hills, NY 11375 Phone: 718-263-4600 | |
Aida Munarova, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 96-10 Metropolitan Ave, Forest Hills, NY 11375 Phone: 718-459-0400 Fax: 718-670-6479 | |
Marina Margolin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10917 72nd Rd, Forest Hills, NY 11375 Phone: 718-493-0874 Fax: 718-793-4277 | |
Dr. Mohamed S Awad, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7049 Austin St, Forest Hills, NY 11375 Phone: 718-280-1245 Fax: 718-280-1253 |