| Jean Robert Desrouleaux, MD | |
|
900 Franklin Ave, Valley Stream, NY 11580-2145 | |
| (800) 376-5566 | |
| Not Available |
| Full Name | Jean Robert Desrouleaux |
|---|---|
| Gender | Male |
| Speciality | Radiology - Neuroradiology |
| 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 |
|---|---|---|---|
| 1609809169 | NPI | - | NPPES |
| 01485318 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | 181744 (New York) | Primary |
| Entity Name | Mercy Internal Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376734079 PECOS PAC ID: 3173609591 Enrollment ID: O20080326000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Robert Desrouleaux, MD Po Box 33354, Hartford, CT 06150-3354 Ph: (800) 376-5566 | Jean Robert Desrouleaux, MD 900 Franklin Ave, Valley Stream, NY 11580-2145 Ph: (800) 376-5566 |
Suzette Powell, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6200 | |
Linda A Harkavy, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 70 E Sunrise Hwy, Suite 608, Valley Stream, NY 11581 Phone: 516-872-7070 Fax: 516-872-7075 | |
Dr. Lauren Marie Kummant, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-382-4796 | |
Robert Sperber, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 800-376-5566 | |
Dr. Raphael C Zohn, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 323 Hungry Harbor Rd, Valley Stream, NY 11581 Phone: 718-619-2700 | |
Dr. Michele Sofia Rubin, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 745 Wilson St, Valley Stream, NY 11581 Phone: 516-791-5577 Fax: 516-791-5775 |