| Divya R Keerthy, MD | |
| 5645 Main St, Flushing, NY 11355-5045 | |
| (860) 576-3693 | |
| Not Available | 
| Full Name | Divya R Keerthy | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Neonatal-perinatal Medicine | 
| Location | 5645 Main St, Flushing, 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 | 
|---|---|---|---|
| 1093178352 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 297913 (New York) | Primary | 
| Entity Name | New York Queens Medicine And Surgery, P.c. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003114851 PECOS PAC ID: 4082883673 Enrollment ID: O20110817000163 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Divya R Keerthy, MD 37-05 30th Street, Apt 407, Long Island City, NY 11101-1033 Ph: (860) 576-3693 | Divya R Keerthy, MD 5645 Main St, Flushing, NY 11355-5045 Ph: (860) 576-3693 | 
| Alicia Marie Mcbride, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5645 Main St Fl 1, Flushing, NY 11355 Phone: 718-670-1800 | |
| David Ko, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13743 45th Ave, Flushing, NY 11355 Phone: 929-362-3006 Fax: 929-362-3026 | |
| Efthemia Nicolopoulos, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1800 Fax: 516-437-4167 | |
| Lori R Hoch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14149 70th Rd, Flushing, NY 11367 Phone: 718-268-5282 | |
| Kathleen Phung, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13743 45th Ave, Flushing, NY 11355 Phone: 929-362-3006 Fax: 929-362-3026 | |
| Dr. Alan Davis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1033 | |
| Pinchi Sundaram Srinivasan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1800 |