| Lucian V Dajdea, MD | |
|
6685 Forest Avenue, Forest Medical Pc, Ridgewood, NY 11385 | |
| (718) 456-9733 | |
| (718) 418-2547 |
| Full Name | Lucian V Dajdea |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 6685 Forest Avenue, Ridgewood, 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 |
|---|---|---|---|
| 1720047525 | NPI | - | NPPES |
| 153356 | Other | HIP | |
| 0056085 | Other | GHI | |
| 12D481 | Other | BCBS | |
| DP008 | Other | OXF | |
| 4C3684 | Other | HEALTHNET | |
| 6604339004 | Other | CIGNA | |
| 4117285 | Other | AETNA | |
| 00811945 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 153356 (New York) | Primary |
| Entity Name | Wyckoff Professional Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659710796 PECOS PAC ID: 6406748607 Enrollment ID: O20040324001805 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucian V Dajdea, MD 6685 Forest Avenue, Forest Medical Pc, Ridgewood, NY 11385 Ph: (718) 456-9733 | Lucian V Dajdea, MD 6685 Forest Avenue, Forest Medical Pc, Ridgewood, NY 11385 Ph: (718) 456-9733 |
Tatyana M. Ledovsky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6415 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-381-9500 Fax: 718-381-9505 | |
Dr. Frances Tubens, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1623 Weirfield St, Ridgewood, NY 11385 Phone: 718-456-4600 Fax: 718-418-3549 | |
Edda M Y Abad, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6359 Forest Ave, Ridgewood, NY 11385 Phone: 718-366-8042 | |
Dr. Fanny Garrido-valencia, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1623 Weirfield St, Ridgewood, NY 11385 Phone: 718-456-4600 Fax: 718-418-3549 | |
Dr. Rolando H Casapao, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1702 Suydam Street, Ridgewood, NY 11385 Phone: 718-386-0402 | |
David Carmili, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 714 Seneca Ave, Ridgewood, NY 11385 Phone: 718-386-6663 Fax: 718-386-3079 | |
Valeria Rosario Cruz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1623 Weirfield St, Ridgewood, NY 11385 Phone: 718-456-4600 |