| Dwayne Breining, MD | |
|
900 Franklin Ave, Valley Stream, NY 11580-2145 | |
| (800) 376-5566 | |
| Not Available |
| Full Name | Dwayne Breining |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology |
| Location | 900 Franklin Ave, Valley Stream, 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 |
|---|---|---|---|
| 1447351119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0101X | Pathology - Anatomic Pathology | 201286 (New York) | Primary |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Dwayne Breining, MD Po Box 33352, Hartford, CT 06150-3352 Ph: (800) 376-5566 | Dwayne Breining, MD 900 Franklin Ave, Valley Stream, NY 11580-2145 Ph: (800) 376-5566 |
Dr. Rubina Cocker, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6159 Fax: 516-256-6162 | |
Vandana Jhaveri, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 800-376-5566 | |
Dr. Saroj Khaneja, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 96 Captains Rd, Valley Stream, NY 11581 Phone: 516-677-4062 | |
Pradeep Prasad Dhital, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Avenue, Valley Stream, NY 11580 Phone: 516-256-6164 |