| Dr Dipak S Banker, MD | |
|
48 New Main St, Haverstraw, NY 10927-1812 | |
| (845) 429-3382 | |
| (845) 429-2057 |
| Full Name | Dr Dipak S Banker |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 48 New Main St, Haverstraw, 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 |
|---|---|---|---|
| 1851374870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 136434 (New York) | Primary |
| Entity Name | Sun River Health Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dipak S Banker, MD 155 Crystal Run Rd, Middletown, NY 10941-4028 Ph: (845) 703-6999 | Dr Dipak S Banker, MD 48 New Main St, Haverstraw, NY 10927-1812 Ph: (845) 429-3382 |
Dr. Sandra Myriam Fefer-sadler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 26 New Main St, Sandra Sadler Pediatrics, Haverstraw, NY 10927 Phone: 845-786-0000 Fax: 866-520-3592 | |
Shoeb I Amin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 48 New Main St, Haverstraw, NY 10927 Phone: 845-429-3382 Fax: 845-429-2057 | |
Dr. Hilary R. Petersel, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 48 New Main St, Haverstraw, NY 10927 Phone: 845-703-6999 Fax: 845-703-6297 | |
Dr. Paul B Bloom, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 48 New Main St, Haverstraw, NY 10927 Phone: 845-429-3382 Fax: 845-429-2057 |