| Dr William John Jude Engellenner, MD | |
|
1000 Montauk Hwy, West Islip, NY 11795-4927 | |
| (631) 376-3000 | |
| Not Available |
| Full Name | Dr William John Jude Engellenner |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 1000 Montauk Hwy, West Islip, 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 |
|---|---|---|---|
| 1659363364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 182397 (New York) | Primary |
| Entity Name | Pathology And Laboratory Consultants Of Long Island Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144212747 PECOS PAC ID: 0244222115 Enrollment ID: O20040331001217 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William John Jude Engellenner, MD 4567 Crossroads Park Dr, 2nd Floor, Liverpool, NY 13088-3589 Ph: (315) 295-2100 | Dr William John Jude Engellenner, MD 1000 Montauk Hwy, West Islip, NY 11795-4927 Ph: (631) 376-3000 |
Dr. Thomas G Cawte, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 Fax: 631-376-4975 | |
Dr. Zhanqing Yan, M.D. Pathology Medicare: May Accept Medicare Assignments Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 | |
Dr. Zhi-wei Ma, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Hwy, Department Of Pathology, West Islip, NY 11795 Phone: 631-376-3990 | |
Dr. Chizheng Zhong, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3990 Fax: 631-376-4975 | |
Dr. Pratima Savargaonkar, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 | |
Dr. Robert Regis Dawson, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 Fax: 631-376-4775 |