| Dr Elena Erika Gazzola-kraenzlin, MD | |
|
620 E Boston Post Rd, Mamaroneck, NY 10543-3741 | |
| (914) 777-5437 | |
| Not Available |
| Full Name | Dr Elena Erika Gazzola-kraenzlin |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 620 E Boston Post Rd, Mamaroneck, 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 |
|---|---|---|---|
| 1275600116 | NPI | - | NPPES |
| 040193 | Other | CT | CT LICENSE |
| 215407 | Other | NY | LICENSE |
| 361911 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 215407 (New York) | Primary |
| 208000000X | Pediatrics | 040193 (Connecticut) | Secondary |
| Entity Name | Boston Children's Health Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elena Erika Gazzola-kraenzlin, MD 620 E Boston Post Rd, Mamaroneck, NY 10543-3741 Ph: (914) 777-5437 | Dr Elena Erika Gazzola-kraenzlin, MD 620 E Boston Post Rd, Mamaroneck, NY 10543-3741 Ph: (914) 777-5437 |
Dr. Nahid Shirazy Majd, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Harrison Ave, Suite #205, Mamaroneck, NY 10543 Phone: 914-777-6600 Fax: 914-777-6602 | |
Dr. Elisa Argota, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 E Boston Post Rd, Mamaroneck, NY 10543 Phone: 914-777-5437 Fax: 914-630-0907 | |
Dr. Varona Yvonne Sargent Tangarife, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 620 E Boston Post Rd, Mamaroneck, NY 10543 Phone: 914-777-5437 | |
Sarah Seaforth, Pediatrics Medicare: Medicare Enrolled Practice Location: 620 E Boston Post Rd, Mamaroneck, NY 10543 Phone: 914-777-5437 | |
Maria Luisa De La Morena, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Harrison Ave, Suite 205, Mamaroneck, NY 10543 Phone: 914-777-6600 Fax: 914-777-6602 | |
Andre Persaud, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 E Boston Post Rd, Mamaroneck, NY 10543 Phone: 914-777-5437 Fax: 914-630-0907 |