| Dr Shirine Nassery Niemann, MD | |
|
71 Haynes St, Manchester, CT 06040-4131 | |
| (617) 595-6963 | |
| Not Available |
| Full Name | Dr Shirine Nassery Niemann |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 71 Haynes St, Manchester, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285772285 | NPI | - | NPPES |
| 046540 | Other | CT | STATE LICENSE |
| 1285772285 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 221648 (Massachusetts) | Primary |
| Entity Name | Integrated Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881636397 PECOS PAC ID: 1759281165 Enrollment ID: O20040112000163 |
| Entity Name | North American Partners In Anesthesia Connecticut Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316994775 PECOS PAC ID: 6709877939 Enrollment ID: O20040519000120 |
| Entity Name | Connecticut Gi Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023124625 PECOS PAC ID: 9830110758 Enrollment ID: O20070112000011 |
| Entity Name | Endoscopy Center Of Connecticut, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1386757854 PECOS PAC ID: 0143226712 Enrollment ID: O20070117000018 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shirine Nassery Niemann, MD 68 South Service Road, Suite 350, Melville, NY 11747-2358 Ph: (516) 945-3000 | Dr Shirine Nassery Niemann, MD 71 Haynes St, Manchester, CT 06040-4131 Ph: (617) 595-6963 |
Dr. Soo K. Choi, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-649-1550 Fax: 860-649-1091 | |
Dr. Harry Elbaum, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-649-1550 Fax: 860-649-1091 | |
Roger R Paro, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 203-876-5920 Fax: 877-368-3377 | |
Dr. Kwok On Chan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-646-1222 Fax: 860-647-1912 | |
Dr. John W. Mccarrick, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-649-1550 Fax: 860-649-1091 | |
Elvis R Rodriguez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-647-6459 |