| Dr Patricia R Burris-warmoth, MD | |
| 
					80 Marcus Dr, Provider Enrollment, Melville, NY 11747-4230  | |
| (631) 391-7889 | |
| (631) 454-4163 | 
| Full Name | Dr Patricia R Burris-warmoth | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine - Adolescent Medicine | 
| Location | 80 Marcus Dr, Melville, 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 | 
|---|---|---|---|
| 1194898676 | NPI | - | NPPES | 
| 01777462 | Medicaid | NY | |
| NYS LICENSE | Other | NY | 198810 | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | 198810 (New York) | Primary | 
| Entity Name | Tjh Medical Services Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1184670465 PECOS PAC ID: 8527960533 Enrollment ID: O20040121000802  | 
| Entity Name | Flushing Hospital & Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1548217763 PECOS PAC ID: 2668367483 Enrollment ID: O20040219000415  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Patricia R Burris-warmoth, MD 14601 45th Ave Ste 140, Flushing, NY 11355-2200 Ph: (718) 670-5534  | Dr Patricia R Burris-warmoth, MD 80 Marcus Dr, Provider Enrollment, Melville, NY 11747-4230 Ph: (631) 391-7889  | 
Max I Hamburger, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1895 Walt Whitman Rd, Melville, NY 11747 Phone: 631-249-9525 Fax: 631-420-1526  | |
Clifford Weingarten,  Internal Medicine Medicare: Medicare Enrolled Practice Location: 2 Leefield Gate, Melville, NY 11747 Phone: 631-427-7651 Fax: 631-549-1526  | |
Dr. Roy M Shanon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 616 Bardini Dr, Melville, NY 11747 Phone: 516-316-0983 Fax: 631-423-1949  | |
Dr. Sonia Karima Qadir, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Walt Whitman Rd, Suite 101, Melville, NY 11747 Phone: 631-271-3075 Fax: 631-271-3018  | |
Dr. Evelina Kahn-kapp, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19 Yarmouth St, Melville, NY 11747 Phone: 631-549-1620  | |
Dr. Alvin Dennis Holcomb, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 100 W Farm Dr, Melville, NY 11747 Phone: 631-491-4982  |