| Kaitlin Boehm, DO | |
|
259 1st St, Mineola, NY 11501-3957 | |
| (516) 663-8766 | |
| Not Available |
| Full Name | Kaitlin Boehm |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Emergency Medicine |
| Location | 259 1st St, Mineola, 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 |
|---|---|---|---|
| 1033573522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | 297765 (New York) | Primary |
| Entity Name | Bronxcare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245390855 PECOS PAC ID: 3870404429 Enrollment ID: O20040526001082 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlin Boehm, DO 259 1st St, Mineola, NY 11501-3957 Ph: (516) 663-8766 | Kaitlin Boehm, DO 259 1st St, Mineola, NY 11501-3957 Ph: (516) 663-8766 |
Manisha Sakore, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-3853 Fax: 516-663-8955 | |
Dr. Kim Ann Rutherford, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 717-531-8955 | |
Dr. Louise Marie Castiglia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 156 First Street, Mineola, NY 11501 Phone: 516-741-4082 | |
Estela De Los Angeles Noyola, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 259 1st St Dept Of, Mineola, NY 11501 Phone: 516-663-2288 Fax: 516-663-8955 | |
Dr. Julie Weiser-shlefstein, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 County Seat Drive, Mineola, NY 11501 Phone: 516-227-9501 Fax: 517-227-9644 | |
Rolando Capati Guevarra, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 222 Station Plz N, Suite 408, Mineola, NY 11501 Phone: 516-663-8534 Fax: 516-663-8297 |