| Dr Kenneth Michael Testa, DO | |
|
124 Mcclean Ave, Staten Island, NY 10305-4614 | |
| (718) 876-8080 | |
| (718) 876-6143 |
| Full Name | Dr Kenneth Michael Testa |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 30 Years |
| Location | 124 Mcclean Ave, Staten Island, 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 |
|---|---|---|---|
| 1093974271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 226616 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| City Medical Of Upper East Side Pllc | 0648465039 | 679 |
| Entity Name | City Medical Of Upper East Side Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801277629 PECOS PAC ID: 0648465039 Enrollment ID: O20101111000052 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Michael Testa, DO 124 Mcclean Ave, Staten Island, NY 10305-4614 Ph: (718) 876-8080 | Dr Kenneth Michael Testa, DO 124 Mcclean Ave, Staten Island, NY 10305-4614 Ph: (718) 876-8080 |
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 |