| Dr Marvin J Base, MD | |
|
9308 Queens Blvd # 1b1c, Rego Park, NY 11374-1135 | |
| (718) 806-1434 | |
| (718) 806-1435 |
| Full Name | Dr Marvin J Base |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 9308 Queens Blvd # 1b1c, Rego Park, 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 |
|---|---|---|---|
| 1366401853 | NPI | - | NPPES |
| 01888251 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 187770 (New York) | Primary |
| Entity Name | North Shore Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083966170 PECOS PAC ID: 9234384561 Enrollment ID: O20130312000401 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marvin J Base, MD 9308 Queens Blvd # 1b1c, Rego Park, NY 11374-1135 Ph: (718) 806-1434 | Dr Marvin J Base, MD 9308 Queens Blvd # 1b1c, Rego Park, NY 11374-1135 Ph: (718) 806-1434 |
Darius Winter, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9785 Queens Blvd, Rego Park, NY 11374 Phone: 718-261-9100 Fax: 718-897-2915 | |
Lorenzo Fitzig, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 9901 Queens Blvd, Rego Park, NY 11374 Phone: 718-520-6100 Fax: 718-544-6664 | |
Dr. Gail Nurit Frumkin, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 9715 64th Rd Lowr Level, Rego Park, NY 11374 Phone: 718-830-3333 Fax: 718-830-3722 | |
Mr. Jack Jienan Fang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6265 Saunders St Apt 5g, Rego Park, NY 11374 Phone: 347-205-7909 | |
Dr. Regina Moshe, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 6336 99th St, 1st Floor, Rego Park, NY 11374 Phone: 718-255-6615 Fax: 718-255-1394 | |
Dr. Salil Marfatia, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9229 Queens Blvd, Suite 1a, Rego Park, NY 11374 Phone: 718-670-5580 Fax: 718-897-2087 | |
Vyacheslav Galibov, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6425 Ellwell Cres, Rego Park, NY 11374 Phone: 718-997-6400 Fax: 718-206-7085 |