| Joseph M Carrucciu, MD | |
|
75 N Country Rd, Port Jefferson, NY 11777-2119 | |
| (631) 473-1320 | |
| (631) 473-1320 |
| Full Name | Joseph M Carrucciu |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 75 N Country Rd, Port Jefferson, 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 |
|---|---|---|---|
| 1063424828 | NPI | - | NPPES |
| 01018148 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 158313 (New York) | Primary |
| Entity Name | John T Mather Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376642371 PECOS PAC ID: 1254237753 Enrollment ID: O20040316000754 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph M Carrucciu, MD 625 Belle Terre Rd, Suite 100, Port Jefferson, NY 11777-2316 Ph: (631) 473-1320 | Joseph M Carrucciu, MD 75 N Country Rd, Port Jefferson, NY 11777-2119 Ph: (631) 473-1320 |
Dr. Jonathan Edward Lerner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. Michael Joseph Michno Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-2517 | |
Dr. Ian Ralph Whiteside, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000 | |
Michelle P Price, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-686-7693 | |
Dr. Saurabh Patel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-2517 | |
Arthi Reddy, Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-2517 |