| Jerome M Brustein, MD | |
|
169 Riverside Dr, Binghamton, NY 13905-4246 | |
| (607) 798-5223 | |
| (607) 798-6187 |
| Full Name | Jerome M Brustein |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 169 Riverside Dr, Binghamton, 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 |
|---|---|---|---|
| 1932193752 | NPI | - | NPPES |
| 01153391 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 177218 (New York) | Primary |
| Entity Name | Millennium Medical Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235114182 PECOS PAC ID: 5799776910 Enrollment ID: O20040518001125 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome M Brustein, MD 5 W State St, Binghamton, NY 13901-2322 Ph: (607) 772-9462 | Jerome M Brustein, MD 169 Riverside Dr, Binghamton, NY 13905-4246 Ph: (607) 798-5223 |
Desiree Maria Ferdinandi, Radiology Medicare: Medicare Enrolled Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 518-650-7503 | |
Brian Tischler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 225 Front St, Binghamton, NY 13905 Phone: 607-778-3938 Fax: 607-778-2873 | |
Thomas Wigginton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 434-321-8466 | |
Mr. Srinivas Bonthu, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 518-786-1291 Fax: 518-786-1293 | |
Robert Caserta, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 607-798-5223 Fax: 607-798-6187 | |
Alexander Y Podvezko, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 607-798-5223 Fax: 607-798-6187 | |
Philip Goodman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 607-798-5223 Fax: 607-798-6187 |