| Dr Ethan David Loeb, MD | |
|
19 Sycamore Ln, Roslyn Heights, NY 11577-2521 | |
| (504) 606-7612 | |
| Not Available |
| Full Name | Dr Ethan David Loeb |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 19 Sycamore Ln, Roslyn Heights, 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 |
|---|---|---|---|
| 1275727711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A63945 (California) | Secondary |
| 207R00000X | Internal Medicine | 232033-1 (New York) | Primary |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568841930 PECOS PAC ID: 2264691070 Enrollment ID: O20151112000217 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ethan David Loeb, MD 19 Sycamore Ln, Roslyn Heights, NY 11577-2521 Ph: (504) 606-7612 | Dr Ethan David Loeb, MD 19 Sycamore Ln, Roslyn Heights, NY 11577-2521 Ph: (504) 606-7612 |
Dr. Anitha Sara Mathew-shaji, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 70 Glen Cove Rd Ste 301, Roslyn Heights, NY 11577 Phone: 516-621-1502 Fax: 516-621-1162 | |
Frank R Vezza, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4 Mineola Ave, Roslyn Heights, NY 11577 Phone: 516-621-9463 Fax: 516-621-9469 | |
Dr. Helen Mary Marks, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 Helen Dr, Roslyn Heights, NY 11577 Phone: 516-626-2559 Fax: 516-626-9552 | |
Tanzina Nashid, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 232 Round Hill Rd, Roslyn Heights, NY 11577 Phone: 678-557-3274 Fax: 678-557-3274 | |
Dr. Matthew Nicholas Mavroson, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 57 Laurel Ln, Roslyn Heights, NY 11577 Phone: 516-313-9949 Fax: 516-300-1607 | |
Dr. Daniel Gilead Kassan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 70 Glen Cove Rd, Suite #306, Roslyn Heights, NY 11577 Phone: 516-621-7720 Fax: 516-625-4521 |