| Mayur S Rali, MD | |
|
1869 Brentwood Road, Brentwood, NY 11717 | |
| (631) 853-3400 | |
| (631) 853-3498 |
| Full Name | Mayur S Rali |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1869 Brentwood Road, Brentwood, 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 |
|---|---|---|---|
| 1750617239 | NPI | - | NPPES |
| 03419770 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 254753 (New York) | Primary |
| Entity Name | Chs Physician Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124497771 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Mayur S Rali, MD 1869 Brentwood Road, Brentwood, NY 11717 Ph: (631) 853-3400 | Mayur S Rali, MD 1869 Brentwood Road, Brentwood, NY 11717 Ph: (631) 853-3400 |
Dr. Maria Del Rosario Vesey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-3428 | |
Dr. Carlos Torres, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 664 Suffolk Ave, Brentwood, NY 11717 Phone: 631-273-7645 Fax: 631-273-4928 | |
Pratima Goyal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-3400 | |
Richard Joseph Bonanno, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-3458 | |
Sarita K Dorschug, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 652 Suffolk Ave, Suite 208, Brentwood, NY 11717 Phone: 631-231-3535 Fax: 631-231-3561 |