| Dr Carl A Nicoleau, MD PHD | |
|
2008 Seagirt Blvd, Far Rockaway, NY 11691-2803 | |
| (718) 565-6880 | |
| (877) 796-4457 |
| Full Name | Dr Carl A Nicoleau |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2008 Seagirt Blvd, Far Rockaway, 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 |
|---|---|---|---|
| 1396792867 | NPI | - | NPPES |
| 180270 | Other | NY | STATE LICENSE |
| 01454842 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0012X | Internal Medicine - Sleep Medicine | 141096 (New York) | Secondary |
| 207R00000X | Internal Medicine | 180270 (New York) | Primary |
| Entity Name | Cesare Saponieri, Md, Facc, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740223353 PECOS PAC ID: 1658445044 Enrollment ID: O20080802000050 |
| Entity Name | Jackson Heights Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003250762 PECOS PAC ID: 1355695008 Enrollment ID: O20181115000213 |
| Entity Name | Dr Salibs Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518479898 PECOS PAC ID: 8628319852 Enrollment ID: O20190416001209 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carl A Nicoleau, MD PHD 2008 Seagirt Blvd, Far Rockaway, NY 11691-2803 Ph: (718) 565-6880 | Dr Carl A Nicoleau, MD PHD 2008 Seagirt Blvd, Far Rockaway, NY 11691-2803 Ph: (718) 565-6880 |
Daniel Buff, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 327 Beach 19th Street, Far Rockaway, NY 11691 Phone: 718-869-7672 | |
Dr. Albert Baravarian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 529 Beach 20th St, Far Rockaway, NY 11691 Phone: 718-327-7307 Fax: 718-327-3294 | |
Mohammad Rao, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 327 Beach 19th St, Far Rockaway, NY 11691 Phone: 718-869-7672 | |
Dr. Olutayo Olaide Olasupo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 529 Beach 20th St, Far Rockaway, NY 11691 Phone: 718-327-7307 Fax: 718-327-3294 | |
Israel Brafman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1159 Beach 9th Street, Far Rockaway, NY 11691 Phone: 718-471-2455 | |
Christopher Emovon, Internal Medicine Medicare: Medicare Enrolled Practice Location: 529 Beach 20th St, Far Rockaway, NY 11691 Phone: 718-327-7307 | |
Dr. Marie Aurore Felix, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1311 Virginia St, Far Rockaway, NY 11691 Phone: 718-327-2909 |