| Dr Jeffrey B Wanerman, MD | |
|
333 Broadway, Amityville, NY 11701-2719 | |
| (631) 789-3999 | |
| (631) 789-0809 |
| Full Name | Dr Jeffrey B Wanerman |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 333 Broadway, Amityville, 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 |
|---|---|---|---|
| 1235230004 | NPI | - | NPPES |
| 01384207 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 164953 (New York) | Primary |
| Entity Name | Good Samaritan Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518901180 PECOS PAC ID: 5294639951 Enrollment ID: O20031124000491 |
| Entity Name | Huntington Hospital Dolan Family Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578593588 PECOS PAC ID: 1153211792 Enrollment ID: O20040317001466 |
| 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 |
| Entity Name | Samaritan Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124184544 PECOS PAC ID: 7012016009 Enrollment ID: O20070727000051 |
| 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 Jeffrey B Wanerman, MD 333 Broadway, Amityville, NY 11701-2719 Ph: (631) 789-3999 | Dr Jeffrey B Wanerman, MD 333 Broadway, Amityville, NY 11701-2719 Ph: (631) 789-3999 |
Dr. Arthur J Rosenman, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 333 Broadway, Amityville, NY 11701 Phone: 631-789-3999 Fax: 631-789-0809 |