| Dr Viktor B Smirnov, MD | |
|
300 Old Country Rd Ste 101, Mineola, NY 11501-4112 | |
| (516) 741-4138 | |
| Not Available |
| Full Name | Dr Viktor B Smirnov |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 300 Old Country Rd Ste 101, Mineola, 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 |
|---|---|---|---|
| 1093891277 | NPI | - | NPPES |
| 00972743 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 15973 (New York) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | 15973-1 (New York) | Secondary |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Viktor B Smirnov, MD 30 Merrick Ave, East Meadow, NY 11554 Ph: (516) 794-0444 | Dr Viktor B Smirnov, MD 300 Old Country Rd Ste 101, Mineola, NY 11501-4112 Ph: (516) 741-4138 |
Meher Oberoi, M.B.B.S. Surgery Medicare: Medicare Enrolled Practice Location: 259 1st St Ste 300, Mineola, NY 11501 Phone: 516-663-2521 | |
Alisha R Oropallo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 Mineola Blvd, Suite 300, Mineola, NY 11501 Phone: 516-663-4400 Fax: 516-663-4404 | |
Dr. Narinder Paul Grewal, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 173 Mineola Blvd Ste 401, Mineola, NY 11501 Phone: 516-663-1145 | |
Dr. John Mcnelis, MD Surgery Medicare: Medicare Enrolled Practice Location: 120 Mineola Blvd, Mineola, NY 11501 Phone: 516-663-3300 Fax: 516-663-2780 | |
Dr. Loretto Glynn, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-4600 | |
Reese A Wain, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 Mineola Blvd, Suite 300, Mineola, NY 11501 Phone: 516-663-4400 Fax: 516-663-4404 |