| Edward Fruitman, MD | |
|
1451 Broadway, Hewlett, NY 11557-1426 | |
| (516) 295-4867 | |
| Not Available |
| Full Name | Edward Fruitman |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1451 Broadway, Hewlett, 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 |
|---|---|---|---|
| 1558434134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 191097-1 (New York) | Primary |
| Entity Name | Essen Medical Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366418709 PECOS PAC ID: 1759353501 Enrollment ID: O20040811000885 |
| Entity Name | Essen Medical Urgicare, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841607298 PECOS PAC ID: 4385960897 Enrollment ID: O20150227000903 |
| Entity Name | Shakespeare Operating Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720634538 PECOS PAC ID: 0840604310 Enrollment ID: O20210123000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Fruitman, MD 1451 Broadway, Hewlett, NY 11557-1426 Ph: (516) 295-4867 | Edward Fruitman, MD 1451 Broadway, Hewlett, NY 11557-1426 Ph: (516) 295-4867 |
Mr. Michael A Consiglio, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 145 E Rockaway Rd, Hewlett, NY 11557 Phone: 516-792-0005 Fax: 516-792-0006 | |
Oksana Cohen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 19 Steven Dr, Hewlett, NY 11557 Phone: 516-569-2183 | |
Renata Sanders, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1229 Broadway, Hewlett, NY 11557 Phone: 917-355-0312 | |
Andrew Singer, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 15 Ives Rd, Hewlett, NY 11557 Phone: 516-295-9088 | |
Leonid Khalatov, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1453 Broadway, Hewlett, NY 11557 Phone: 516-792-0800 | |
Dr. Natalya Ogievetsky, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1229 Broadway, Ste 106, Hewlett, NY 11557 Phone: 516-612-3838 Fax: 516-612-3833 | |
Dr. Monique Rousseau, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1728 Broadway Ste 1, Hewlett, NY 11557 Phone: 516-596-9088 |