| Dr John A D'anna, MD | |
| 256 Mason Ave, Staten Island, NY 10305-3408 | |
| (718) 226-6398 | |
| (718) 226-6911 | 
| Full Name | Dr John A D'anna | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 256 Mason Ave, Staten Island, 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 | 
|---|---|---|---|
| 1578549820 | NPI | - | NPPES | 
| 00806813 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 136636 (New York) | Primary | 
| 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 John A D'anna, MD 1 Edgewater St, 6th Floor, Staten Island, NY 10305-4900 Ph: (718) 226-4324 | Dr John A D'anna, MD 256 Mason Ave, Staten Island, NY 10305-3408 Ph: (718) 226-6398 | 
| Tomasine Fodera,  Surgery Medicare: Accepting Medicare Assignments Practice Location: 2235 Clove Rd, Staten Island, NY 10305 Phone: 718-815-8100 | |
| Dr. Frederick Huie, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 110 Harvard Ave, Staten Island, NY 10301 Phone: 718-450-6979 | |
| Maria Fodera,  Surgery Medicare: Accepting Medicare Assignments Practice Location: 2235 Clove Rd, Staten Island, NY 10305 Phone: 718-815-8100 | |
| Dr. Ireneo Valdes Albano, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 188 Ocean Ter, Staten Island, NY 10301 Phone: 718-816-7962 | |
| Dr. Alfred Culliford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 256 Mason Ave, Staten Island, NY 10305 Phone: 718-226-1270 | |
| Lance Jung, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1050 Clove Rd, Staten Island, NY 10301 Phone: 718-816-6440 Fax: 718-816-3612 | |
| Dr. Anthony Kopatsis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3163 Hylan Blvd, Staten Island, NY 10306 Phone: 718-667-7009 Fax: 718-667-7514 |