| Dr Daniel Sudilovsky, MD | |
|
101 Dates Dr, Ithaca, NY 14850 | |
| (607) 274-4474 | |
| (607) 274-4481 |
| Full Name | Dr Daniel Sudilovsky |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 33 Years |
| Location | 101 Dates Dr, Ithaca, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184619264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 237344 (New York) | Secondary |
| 207ZC0500X | Pathology - Cytopathology | 237344 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kingman Regional Medical Center | Kingman, AZ | Hospital |
| Western Arizona Regional Medical Center | Bullhead city, AZ | Hospital |
| Yuma Regional Medical Center | Yuma, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yuma Regional Medical Center | 2062314826 | 359 |
| Kingman Healthcare Inc | 6901791367 | 148 |
| Entity Name | Yuma Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194706655 PECOS PAC ID: 2062314826 Enrollment ID: O20040122000526 |
| Entity Name | Kingman Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265423917 PECOS PAC ID: 6901791367 Enrollment ID: O20040216001173 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel Sudilovsky, MD Po Box 1849, Lewiston, ME 04241-1849 Ph: (207) 784-2554 | Dr Daniel Sudilovsky, MD 101 Dates Dr, Ithaca, NY 14850 Ph: (607) 274-4474 |
Dr. Elizabeth F Plocharczyk, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4474 Fax: 607-274-4481 | |
Reza Golestani, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4474 Fax: 207-777-1439 |