| Dr Regina Imelda Mcinerney-lopez, DO | |
|
300 Bayshore Road, North Babylon, NY 11530 | |
| (631) 586-2700 | |
| (631) 586-3524 |
| Full Name | Dr Regina Imelda Mcinerney-lopez |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 300 Bayshore Road, North Babylon, 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 |
|---|---|---|---|
| 1285696849 | NPI | - | NPPES |
| 02888842 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 244077 (New York) | Primary |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Entity Name | Prohealth Care Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Regina Imelda Mcinerney-lopez, DO 800 Axinn Ave, Garden City, NY 11530-2139 Ph: (646) 680-2894 | Dr Regina Imelda Mcinerney-lopez, DO 300 Bayshore Road, North Babylon, NY 11530 Ph: (631) 586-2700 |
Sheila F Natbony, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Bay Shore Rd, North Babylon, NY 11703 Phone: 631-586-2700 Fax: 631-586-3524 | |
Seetha D Thallur, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Bay Shore Rd, North Babylon, NY 11703 Phone: 631-586-2700 Fax: 631-586-3524 | |
Jagan N Pahuja, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Bay Shore Rd, North Babylon, NY 11703 Phone: 631-586-2700 Fax: 631-586-3524 | |
Jorge Ernesto Mejia-corletto, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1476 Deer Park Ave Ste 2, North Babylon, NY 11703 Phone: 631-462-1184 Fax: 631-462-1187 | |
Steven D Purrier, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 789 Deer Park Ave, North Babylon, NY 11703 Phone: 631-242-7171 Fax: 631-242-7834 | |
Mr. John Francis Bisacco, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Bay Shore Rd, North Babylon, NY 11703 Phone: 631-586-2700 |