| Mark R Johnston, MD | |
|
Westchester County Department Of Health, 145 Huguenot Street, New Rochelle, NY 10801-5234 | |
| (914) 813-5237 | |
| Not Available |
| Full Name | Mark R Johnston |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | Westchester County Department Of Health, New Rochelle, 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 |
|---|---|---|---|
| 1619175460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 149047 (New York) | Primary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 149047 (New York) | Secondary |
| Entity Name | Empire Wound Physician Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093130742 PECOS PAC ID: 6406170497 Enrollment ID: O20150122001257 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R Johnston, MD Westchester County Department Of Health, 145 Huguenot Street, New Rochelle, NY 10801-5234 Ph: (914) 813-5237 | Mark R Johnston, MD Westchester County Department Of Health, 145 Huguenot Street, New Rochelle, NY 10801-5234 Ph: (914) 813-5237 |
Dr. Shyam Chandru Shivdasani, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Lockwood Ave, Suite 216, New Rochelle, NY 10801 Phone: 914-235-6900 Fax: 914-235-7900 | |
Dr. Hirendra J Dave, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Lockwood Ave, Suite 202, New Rochelle, NY 10801 Phone: 914-633-7200 Fax: 914-633-7217 | |
Oluwatoyin Adekitan Modupe, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16 Guion Place, New Rochelle, NY 10801 Phone: 914-365-4059 Fax: 914-365-5270 | |
Dr. Robert Erwin Bases, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Mohegan Pl, New Rochelle, NY 10804 Phone: 914-633-7766 Fax: 914-632-3056 | |
Dr. Aaron Edward Roth, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Seacord Rd, New Rochelle, NY 10804 Phone: 914-949-3988 | |
Natasha Cortijo-brown, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 130 Montgomery Cir, New Rochelle, NY 10804 Phone: 347-200-4201 |