| Dr Lewis M Russakoff, MD | |
|
701 N Broadway, Sleepy Hollow, Sleepy Hollow, NY 10591-1020 | |
| (914) 366-3604 | |
| (914) 366-1302 |
| Full Name | Dr Lewis M Russakoff |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 701 N Broadway, Sleepy Hollow, 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 |
|---|---|---|---|
| 1225122310 | NPI | - | NPPES |
| 01590647 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 113198 (New York) | Primary |
| Entity Name | Phelps Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720185267 PECOS PAC ID: 1658283981 Enrollment ID: O20031104000490 |
| 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 Lewis M Russakoff, MD 701 N Broadway, Sleepy Hollow, Sleepy Hollow, NY 10591-1020 Ph: (914) 366-3604 | Dr Lewis M Russakoff, MD 701 N Broadway, Sleepy Hollow, Sleepy Hollow, NY 10591-1020 Ph: (914) 366-3604 |
Dr. Mark Carlin Homonoff, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 755 N Broadway Ste 417, Sleepy Hollow, NY 10591 Phone: 914-366-5330 | |
Dr. Ruth Held Martin, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 701 N Broadway, Sleepy Hollow, NY 10591 Phone: 914-366-3025 | |
Dr. Ronald Irwin Jacobson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 755 North Broadway, Medical Services Building Suite 540, Sleepy Hollow, NY 10591 Phone: 914-358-0190 Fax: 914-358-0199 | |
Craig S Rogers, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 245 N Broadway, Sleepy Hollow, NY 10591 Phone: 914-631-0444 Fax: 914-366-1302 | |
Sara Afzal, Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 701 N Broadway, Sleepy Hollow, NY 10591 Phone: 914-366-3000 | |
Rolla Nuoman, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 755 N Broadway Ste 540, Sleepy Hollow, NY 10591 Phone: 914-358-0188 Fax: 914-358-0189 |