| Lidia Mikolaenko, | |
|
59 Southern Blvd, Nesconset, NY 11767-1090 | |
| (631) 628-5000 | |
| Not Available |
| Full Name | Lidia Mikolaenko |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 59 Southern Blvd, Nesconset, 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 |
|---|---|---|---|
| 1497175228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 290112 (New York) | Primary |
| 207Q00000X | Family Medicine | 57241 (Connecticut) | Secondary |
| Entity Name | North Shore Medical Group Of The Mount Sinai School Of Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275640609 PECOS PAC ID: 8921999087 Enrollment ID: O20040320000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Lidia Mikolaenko, 59 Southern Blvd, Nesconset, NY 11767-1090 Ph: (631) 628-5000 | Lidia Mikolaenko, 59 Southern Blvd, Nesconset, NY 11767-1090 Ph: (631) 628-5000 |
Dr. Saadia Naz Wasty, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 195 Smithtown Blvd Ste 104, Nesconset, NY 11767 Phone: 631-292-0100 | |
Dr. Manpreet Singh, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 465 Smithtown Blvd, Nesconset, NY 11767 Phone: 631-676-6700 Fax: 631-676-6708 | |
Dr. Massimiliano Frasca, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 465 Smithtown Blvd, North Shore Urgent Care, Nesconset, NY 11767 Phone: 631-676-6700 Fax: 631-676-6708 | |
Alexander Godefridus Jacobus Druif, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Smithtown Blvd, Nesconset, NY 11767 Phone: 631-676-6700 Fax: 631-676-6708 | |
Baljinder Kaur Grewal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Smithtown Blvd, Nesconset, NY 11767 Phone: 631-767-6700 |