| Dr Yury Takhalov, MD | |
| Stony Brook University Hospital, Dept Of Pathology Hos2, Stony Brook, NY 11794-7025 | |
| (631) 444-2224 | |
| (631) 444-3424 | 
| Full Name | Dr Yury Takhalov | 
|---|---|
| Gender | Male | 
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology | 
| Location | Stony Brook University Hospital, Stony Brook, 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 | 
|---|---|---|---|
| 1932370731 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 255706 (New York) | Primary | 
| Entity Name | Wyckoff Professional Medical Services Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1659710796 PECOS PAC ID: 6406748607 Enrollment ID: O20040324001805 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Yury Takhalov, MD 840 S. Wood St., Suite 130 Csn, University Of Illinois At Chicago, Chicago, IL 60612 Ph: (312) 996-3879 | Dr Yury Takhalov, MD Stony Brook University Hospital, Dept Of Pathology Hos2, Stony Brook, NY 11794-7025 Ph: (631) 444-2224 | 
| Maoxin Wu, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: Stony Brook Pathologists Ufpc, Sbumc, Bst L9, Rm 140, Stony Brook, NY 11794 Phone: 631-444-3000 Fax: 631-444-3419 | |
| Yupo Ma, MD PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: Stony Brook Medical Ctr, Department Of Pathology, Stony Brook, NY 11794 Phone: 631-444-2241 Fax: 631-444-1566 | |
| Dr. Eric U Yee, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-444-3000 | |
| Dr. Roberta Seidman, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: University Hospital, Stony Brook, NY 11794 Phone: 631-444-2227 | |
| James H Suh, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Stony Brook University Hospital, Dept Of Pathology Hos 2, Stony Brook, NY 11794 Phone: 631-444-2224 Fax: 631-444-3424 | |
| Dr. Joel H Saltz, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Bst Level 9 Rm 140, Stony Brook, NY 11794 Phone: 631-444-3424 | |
| Dr. Ute Moll, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: University Hospital, Stony Brook, NY 11794 Phone: 631-444-2459 |