| Mrs Phyllis G Simon-goldman, MD | |
|
270 Union Ave, Holbrook, NY 11741 | |
| (631) 331-6200 | |
| (631) 331-6282 |
| Full Name | Mrs Phyllis G Simon-goldman |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 270 Union Ave, Holbrook, 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 |
|---|---|---|---|
| 1245431477 | NPI | - | NPPES |
| 03080866 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 240746-1 (New York) | Primary |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Entity Name | Prohealth Care Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Phyllis G Simon-goldman, MD 270 Union Ave, Freed, Kleinberg, Nussbaum & Fest, Kronberg, M.d., Llp, Holbrook, NY 11741 Ph: (631) 588-4442 | Mrs Phyllis G Simon-goldman, MD 270 Union Ave, Holbrook, NY 11741 Ph: (631) 331-6200 |
Dr. Yelena Melman, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 Broadway Ave, Suite D, Holbrook, NY 11741 Phone: 631-563-2294 Fax: 631-589-8946 | |
Dr. Jason Kronberg, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 270 Union Ave, Holbrook, NY 11741 Phone: 631-588-4442 | |
Dr. Robert S Festa, M.D., LIC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 270 Union Ave, Holbrook, NY 11741 Phone: 631-588-4442 Fax: 631-471-3039 | |
Dr. Michael Nussbaum, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 270 Union Ave, Holbrook, NY 11741 Phone: 631-588-4442 | |
Dr. Foazia Siddiq, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 Broadway Ave, Suite D, Holbrook, NY 11741 Phone: 631-563-2294 Fax: 631-589-8946 | |
Dr. Mitchell Kleinberg, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 270 Union Ave, Holbrook, NY 11741 Phone: 631-558-4442 Fax: 631-471-3039 |