| Lev Chernobilsky, MD | |
|
269 E Main St, Smithtown, NY 11787-2832 | |
| (631) 361-2121 | |
| (631) 361-2153 |
| Full Name | Lev Chernobilsky |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 269 E Main St, Smithtown, 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 |
|---|---|---|---|
| 1922084920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 161696 (New York) | Primary |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Entity Name | Prohealth Care Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
| Entity Name | Optum Urgent Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285975797 PECOS PAC ID: 8628299518 Enrollment ID: O20141017000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Lev Chernobilsky, MD 269 E Main St, Smithtown, NY 11787-2835 Ph: (631) 361-2121 | Lev Chernobilsky, MD 269 E Main St, Smithtown, NY 11787-2832 Ph: (631) 361-2121 |
Dr. Nubia Stella Vargas-chen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 260 E Middle Country Rd, Smithtown, NY 11787 Phone: 631-979-7222 | |
Dr. Daniel Mayer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 263 East Main Street, Smithtown, NY 11787 Phone: 631-366-5252 | |
Dr. Mary Ann Flynn Gameng, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 E Main St, Suite 5, Smithtown, NY 11787 Phone: 631-979-6466 Fax: 631-979-6475 | |
Richard C Ancona, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 E Main St, Suite 5, Smithtown, NY 11787 Phone: 631-979-6466 Fax: 631-979-6475 | |
Michael Robert Stern, MD, FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 E Main St, Suite 5, Smithtown, NY 11787 Phone: 631-979-6466 Fax: 631-979-6475 | |
Dr. Suzette Umbao Santos, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 260 E Middle Country Rd Ste 107, Smithtown, NY 11787 Phone: 631-979-7222 | |
Dr. Sharon L Inkeles, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 260 E Main St, Smithtown, NY 11787 Phone: 631-979-7222 Fax: 631-979-5376 |