| Krishna R S Gujavarty, MD | |
|
49 Dolphin Lane East, Copiague, NY 11726 | |
| (631) 331-0028 | |
| (631) 608-3387 |
| Full Name | Krishna R S Gujavarty |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 49 Dolphin Lane East, Copiague, 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 |
|---|---|---|---|
| 1487663415 | NPI | - | NPPES |
| 00604040 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 141407 (New York) | Primary |
| Entity Name | Samaritan Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124184544 PECOS PAC ID: 7012016009 Enrollment ID: O20070727000051 |
| Mailing Address | Practice Location Address |
|---|---|
| Krishna R S Gujavarty, MD 49 Dolphin Lane East, Copiague, NY 11726-5415 Ph: (631) 331-0028 | Krishna R S Gujavarty, MD 49 Dolphin Lane East, Copiague, NY 11726 Ph: (631) 331-0028 |
Bor Shiuan Chuang, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 445 Oak St, Copiague, NY 11726 Phone: 631-691-7080 | |
Woon M Joung, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 445 Oak St, Copiague, NY 11726 Phone: 631-691-7080 | |
Arkady Yusupov, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1700 Great Neck Rd, Copiague, NY 11726 Phone: 347-624-3341 | |
Dr. John Kurek, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 445 Oak St, Fegs, Copiague, NY 11726 Phone: 631-691-7080 Fax: 631-691-3387 |