| Max S Laguerre, MD | |
|
5 Lyon Pl, Ogdensburg, NY 13669-2586 | |
| (315) 393-2314 | |
| (315) 393-3873 |
| Full Name | Max S Laguerre |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 5 Lyon Pl, Ogdensburg, 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 |
|---|---|---|---|
| 1780676296 | NPI | - | NPPES |
| 02348805 | Medicaid | NY | |
| 103210167 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 226230 (New York) | Primary |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553 |
| Mailing Address | Practice Location Address |
|---|---|
| Max S Laguerre, MD 4567 Crossroads Park Dr, Liverpool, NY 13088-3589 Ph: (315) 295-2100 | Max S Laguerre, MD 5 Lyon Pl, Ogdensburg, NY 13669-2586 Ph: (315) 393-2314 |
John W Gebert, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5 Lyon Place, Richard E Winter Cancer Treatment Center, Ogdensburg, NY 13669 Phone: 315-393-3600 Fax: 315-393-0320 | |
Ali M Gharagozloo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-3600 Fax: 315-393-9127 | |
Muhammad Afridi, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-3600 | |
Dennis J Kotlove, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-713-6220 Fax: 315-393-3873 |