| Frederic A Mendelsohn, MD | |
|
650 Hawkins Ave, Suite 7, Ronkonkoma, NY 11779-2366 | |
| (631) 737-0055 | |
| (631) 737-0076 |
| Full Name | Frederic A Mendelsohn |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 650 Hawkins Ave, Ronkonkoma, 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 |
|---|---|---|---|
| 1336247691 | NPI | - | NPPES |
| 00655156 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 112676 (New York) | Primary |
| Entity Name | Echo Medical Diagnostics Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346553161 PECOS PAC ID: 5799969085 Enrollment ID: O20110412000035 |
| Mailing Address | Practice Location Address |
|---|---|
| Frederic A Mendelsohn, MD Po Box 491, Port Jefferson Station, NY 11776-0491 Ph: (631) 737-0055 | Frederic A Mendelsohn, MD 650 Hawkins Ave, Suite 7, Ronkonkoma, NY 11779-2366 Ph: (631) 737-0055 |
Dr. Jillian K Chan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 650 Hawkins Ave Ste 7, Ronkonkoma, NY 11779 Phone: 631-737-0055 Fax: 631-737-0076 | |
Dr. Todd Joseph Maltese, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 650 Hawkins Ave, Suite 7, Ronkonkoma, NY 11779 Phone: 631-737-0055 Fax: 631-737-0076 |