| Dr Beena Mathai-jose, | |
|
Optum Huntington Pediatrics, 205 East Main Street, Ste 2-8, Huntington, NY 11743-1101 | |
| (631) 424-1741 | |
| Not Available |
| Full Name | Dr Beena Mathai-jose |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | Optum Huntington Pediatrics, 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 |
|---|---|---|---|
| 1194864728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 231985 (New York) | Primary |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Entity Name | Prohealth Care Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
| 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 |
|---|---|
| Dr Beena Mathai-jose, Optum Huntington Pediatrics, 205 East Main Street, Ste 2-8, Huntington, NY 11743 Ph: (631) 424-1741 | Dr Beena Mathai-jose, Optum Huntington Pediatrics, 205 East Main Street, Ste 2-8, Huntington, NY 11743-1101 Ph: (631) 424-1741 |
Eileen P Sheehy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 164 East Main Street, Huntington Pediatrics Pc, Huntington, NY 11743 Phone: 631-427-0530 Fax: 631-427-0530 | |
Nina A. Tomei, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 775 Park Avenue, Suite 125, Huntington, NY 11743 Phone: 631-659-4000 Fax: 631-659-4048 | |
Kathrynne F. Yland, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 241 E Main St, Huntington, NY 11743 Phone: 631-367-5300 Fax: 631-351-4561 | |
Dr. Anne E. Conrad, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 241 E Main St, Huntington, NY 11743 Phone: 631-367-5300 Fax: 631-351-4561 | |
Michael B. Grosso, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 241 E Main St, Huntington, NY 11743 Phone: 631-367-5300 Fax: 631-351-4561 | |
Bruce Edward Gerberg, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 41 Fairview St, Huntington, NY 11743 Phone: 631-427-0530 Fax: 631-427-0147 |