Dr Marilena Mirica, MD | |
59 Southern Blvd, Nesconset, NY 11767-1090 | |
(631) 659-1700 | |
(631) 659-1750 |
Full Name | Dr Marilena Mirica |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 59 Southern Blvd, Nesconset, 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 |
---|---|---|---|
1184660003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 207578 (New York) | Primary |
Entity Name | North Shore Medical Group Of The Mount Sinai School Of Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275640609 PECOS PAC ID: 8921999087 Enrollment ID: O20040320000412 |
Entity Name | Southwest Suffolk Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104096049 PECOS PAC ID: 0244396349 Enrollment ID: O20090225000297 |
Mailing Address | Practice Location Address |
---|---|
Dr Marilena Mirica, MD 59 Southern Blvd, Nesconset, NY 11767-1090 Ph: (631) 659-1700 | Dr Marilena Mirica, MD 59 Southern Blvd, Nesconset, NY 11767-1090 Ph: (631) 659-1700 |
Dr. Mark Jason Goldman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Southern Blvd, Nesconset, NY 11767 Phone: 631-659-1800 Fax: 631-382-4836 | |
Richard N Sabinsky, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Southern Blvd, Nesconset, NY 11767 Phone: 631-361-3363 Fax: 631-361-3579 | |
Joanne M. Kechejian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 59 Southern Blvd, Nesconset, NY 11767 Phone: 631-659-1700 Fax: 631-659-1750 | |
Mohan Sharma, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 276 Smithtown Blvd, Nesconset, NY 11767 Phone: 631-981-9143 Fax: 631-981-6710 | |
Dr. Andrew Radzik, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 59 Southern Blvd, Nesconset, NY 11767 Phone: 631-659-1700 Fax: 631-659-1750 | |
Augustus G Mantia, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 59 Southern Blvd, Nesconset, NY 11767 Phone: 631-659-1700 Fax: 631-659-1750 |