| Elliot J Pellman, MD | |
|
2800 Marcus Ave, Lake Success, NY 11042-1008 | |
| (516) 622-6040 | |
| Not Available |
| Full Name | Elliot J Pellman |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Sports Medicine |
| Location | 2800 Marcus Ave, Lake Success, 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 |
|---|---|---|---|
| 1235192998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | 144088 (New York) | Primary |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Entity Name | Prohealth Care Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Elliot J Pellman, MD 2800 Marcus Ave, Lake Success, NY 11042-1008 Ph: (516) 622-6040 | Elliot J Pellman, MD 2800 Marcus Ave, Lake Success, NY 11042-1008 Ph: (516) 622-6040 |
Vincent Vinciguerra, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: The Monter Cancer Center, 450 Lakeville Road, Lake Success, NY 11042 Phone: 516-734-8954 | |
Lora Weiselberg, Internal Medicine Medicare: Medicare Enrolled Practice Location: The Monter Cancer Center, 450 Lakeville Road, Lake Success, NY 11042 Phone: 516-734-8963 | |
Steve W Rucker, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Ohio Drive, Suite 200, Lake Success, NY 11042 Phone: 516-775-4545 Fax: 516-775-4646 | |
Richard Stark, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1999 Marcus Ave, Ste 120, Lake Success, NY 11042 Phone: 516-466-6611 Fax: 516-466-9582 | |
Ummekalsoom Rahman Malik, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 Lakeville Rd, Ste 311, Lake Success, NY 11042 Phone: 516-358-2400 Fax: 516-358-5454 | |
Clifford Cooper, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Pro Health Plz, Lake Success, NY 11042 Phone: 516-622-6020 | |
Francisco Antonio Garcia-moreno, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 Lakeville Rd, Ste 311, Lake Success, NY 11042 Phone: 516-358-2400 Fax: 516-358-5454 |