| Dr Antwan I Haskoor, MD | |
|
69 43 Central Ave, Glendale, NY 11385 | |
| (718) 497-6711 | |
| (718) 418-8248 |
| Full Name | Dr Antwan I Haskoor |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 69 43 Central Ave, Glendale, 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 |
|---|---|---|---|
| 1104997295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 175230 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Antwan I Haskoor, MD 69 43 Central Ave, Glendale, NY 11385 Ph: (718) 497-6711 | Dr Antwan I Haskoor, MD 69 43 Central Ave, Glendale, NY 11385 Ph: (718) 497-6711 |
Dr. Thomas Martin Rehm, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7713 79 Place, Glendale, NY 11385 Phone: 718-417-3344 Fax: 718-418-4124 | |
Eleonora Mezheritsky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6553 Myrtle Ave, Glendale, NY 11385 Phone: 718-366-5391 Fax: 718-418-3367 | |
Natalya Leviyeva, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6943 Central Ave, Glendale, NY 11385 Phone: 171-849-7671 Fax: 718-418-8248 |