| Emelito Gonzales, MD | |
|
707 E Main St, Middletown, NY 10940-2650 | |
| (845) 695-5999 | |
| (845) 695-5832 |
| Full Name | Emelito Gonzales |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 707 E Main St, Middletown, 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 |
|---|---|---|---|
| 1497709091 | NPI | - | NPPES |
| 00234868 | Medicaid | NY | |
| 2236303 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 25MA03439400 (New Jersey) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 1254391 (New York) | Primary |
| 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 |
| Entity Name | Thomas R. Eanelli Radiation Oncology Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497068043 PECOS PAC ID: 6800076019 Enrollment ID: O20110204000687 |
| Mailing Address | Practice Location Address |
|---|---|
| Emelito Gonzales, MD 2 Lake St, Suite 201, Monroe, NY 10950-3542 Ph: (845) 837-1388 | Emelito Gonzales, MD 707 E Main St, Middletown, NY 10940-2650 Ph: (845) 695-5999 |
Dr. Noaman Vaidya, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Mr. Frank Anthony Starvaggi, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 60 Prospect Ave, Radiologic Associates, Pc, Middletown, NY 10940 Phone: 845-343-0616 Fax: 845-343-0617 | |
Nathaniel E Margolis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Pallavi Cherukuri, Radiology Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-343-0616 Fax: 845-343-0617 | |
Dr. Stephanie Barbara Cohen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Radiologic Associates, Pc, Middletown, NY 10940 Phone: 845-333-1258 Fax: 845-343-0617 | |
Joseph Marchione, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-692-0030 Fax: 845-692-0037 | |
Dr. Jerome Anthony Molitor, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-2023 |