Diana Lenis, | |
4 Smith Haven Mall, Suite 203, Lake Grove, NY 11755-0001 | |
(631) 444-0580 | |
Not Available |
Full Name | Diana Lenis |
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Gender | Female |
Speciality | Internal Medicine |
Location | 4 Smith Haven Mall, Suite 203, Lake Grove, 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 |
---|---|---|---|
1316409907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 316755 (New York) | Primary |
Entity Name | Pine Ridge Indian Health Service Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
Mailing Address | Practice Location Address |
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Diana Lenis, 4 Smith Haven Mall, Suite 203, Lake Grove, NY 11755-2508 Ph: (631) 444-0580 | Diana Lenis, 4 Smith Haven Mall, Suite 203, Lake Grove, NY 11755-0001 Ph: (631) 444-0580 |
Dr. Scott A Stein, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Smith Haven Mall, Lake Grove, NY 11755 Phone: 631-444-4630 | |
Dr. Brooke Noelle Learned, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 4 Smith Haven Mall Ste 203, Lake Grove, NY 11755 Phone: 631-444-0580 Fax: 631-444-0562 | |
Robert Joseph Boswell, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2233 Nesconset Hwy, Ste 202, Lake Grove, NY 11755 Phone: 631-585-5055 Fax: 631-585-4967 |