| Dr Mark Jacob Coronel, MD | |
|
287 Wading River Rd, Unit 2, Manorville, NY 11949 | |
| (631) 591-3000 | |
| Not Available |
| Full Name | Dr Mark Jacob Coronel |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 20 Years |
| Location | 287 Wading River Rd, Manorville, 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 |
|---|---|---|---|
| 1346416963 | NPI | - | NPPES |
| 454858453 | Other | NY | NYS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 247949 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peconic Bay Medical Center | Riverhead, NY | Hospital |
| Suny/stony Brook University Hospital | Stony brook, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mark J Coronel Md Pc | 5890958979 | 7 |
| Entity Name | Mark J Coronel Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639445869 PECOS PAC ID: 5890958979 Enrollment ID: O20120530000365 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Jacob Coronel, MD 856 Bryant St, Woodmere, NY 11598-2540 Ph: (631) 591-3000 | Dr Mark Jacob Coronel, MD 287 Wading River Rd, Unit 2, Manorville, NY 11949 Ph: (631) 591-3000 |
Fang Chen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 496 County Road 111, Building B, Manorville, NY 11949 Phone: 631-405-3200 Fax: 631-395-6010 | |
Kevin Jacob Yeroushalmi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 496 County Road 111 Bldg D2, Manorville, NY 11949 Phone: 631-591-2901 Fax: 631-591-2904 |