| Minimol Antony, | |
|
2107 Ditmas Ave, Brooklyn, NY 11226-6903 | |
| (718) 226-8100 | |
| (929) 264-5950 |
| Full Name | Minimol Antony |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2107 Ditmas Ave, Brooklyn, 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 |
|---|---|---|---|
| 1417499310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 301356 (New York) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Maimonides Faculty Practice Plan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597 |
| Entity Name | Mmc Pediatrics Faculty Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285648154 PECOS PAC ID: 0143406918 Enrollment ID: O20110511000496 |
| Mailing Address | Practice Location Address |
|---|---|
| Minimol Antony, 2107 Ditmas Ave, Brooklyn, NY 11226-6903 Ph: (718) 262-8100 | Minimol Antony, 2107 Ditmas Ave, Brooklyn, NY 11226-6903 Ph: (718) 226-8100 |
Dr. Sadhana Bose, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1545 Atlantic Ave, Interfaith Medical Center, Brooklyn, NY 11213 Phone: 718-613-4000 | |
Dr. Joanne Moreau, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 32 Court St Ste 1200, Brooklyn, NY 11201 Phone: 929-239-4495 | |
Dr. Danielle Abadi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 506 6th St, Brooklyn, NY 11215 Phone: 718-780-5260 Fax: 718-780-3266 | |
Hugh Gilgoff, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Cadman Plaza West, Brooklyn, NY 11201 Phone: 929-210-6000 Fax: 929-210-6001 | |
Dr. Ninad Desai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 451 Clarkson Ave, Kings County Hospital Center; B 6202, Brooklyn, NY 11203 Phone: 718-245-4105 Fax: 718-245-4107 | |
Dr. Diana E. Weaver, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Clarkson Ave, Suite B4-333, Brooklyn, NY 11203 Phone: 718-270-4714 Fax: 718-270-1985 | |
Jane Fong, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 263 7th Ave, Brooklyn, NY 11215 Phone: 718-246-8510 |