| Dr Gustavo Raul Depetris, MD | |
|
2322 30th Ave, 2nd Floor, Astoria, NY 11102-3255 | |
| (718) 956-7988 | |
| (718) 267-1990 |
| Full Name | Dr Gustavo Raul Depetris |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 2322 30th Ave, Astoria, 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 |
|---|---|---|---|
| 1942226410 | NPI | - | NPPES |
| 196792 | Other | NY | LIC ID |
| 01630524 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 196792 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vns Of Ny Home Care Chha | New york, NY | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore-lij Medical Pc | 3375701568 | 5625 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gustavo Raul Depetris, MD 2322 30th Ave, 2nd Floor, Astoria, NY 11102-3255 Ph: (718) 956-7988 | Dr Gustavo Raul Depetris, MD 2322 30th Ave, 2nd Floor, Astoria, NY 11102-3255 Ph: (718) 956-7988 |
Dr. Sameet Arun Palkhiwala, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4207 30th Ave, Astoria, NY 11103 Phone: 718-204-7200 Fax: 718-267-0060 | |
Dr. Tarek Mohamed Mousa, MD, PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2427 Steinway St, Astoria, NY 11103 Phone: 929-208-0080 Fax: 929-208-0010 | |
Constantin C Anagnostopoulos, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3014 31st Ave, Unit Ll, Astoria, NY 11106 Phone: 718-545-4080 | |
Tun Win Naing, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2510 30th Ave, Astoria, NY 11102 Phone: 718-267-5907 | |
Dr. Ranbir Singh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2510 30th Ave, Astoria, NY 11102 Phone: 718-932-1000 | |
Dr. Michael Plokamakis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2597 38th Street, Astoria, NY 11103 Phone: 718-626-8119 Fax: 718-777-0573 | |
Vidya Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2510 30th Ave, Astoria, NY 11102 Phone: 718-267-4245 |