| Pinchi Sundaram Srinivasan, MD | |
| 5645 Main St, Flushing, NY 11355-5045 | |
| (718) 670-1800 | |
| Not Available | 
| Full Name | Pinchi Sundaram Srinivasan | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Neonatal-perinatal Medicine | 
| Location | 5645 Main St, Flushing, 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 | 
|---|---|---|---|
| 1043262900 | NPI | - | NPPES | 
| 02526805 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 254901 (New York) | Secondary | 
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 254901 (New York) | Primary | 
| Entity Name | Metropolitan Medical Practice Plan Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306138383 PECOS PAC ID: 8022286384 Enrollment ID: O20110713000171 | 
| Entity Name | New York Queens Medicine And Surgery, P.c. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003114851 PECOS PAC ID: 4082883673 Enrollment ID: O20110817000163 | 
| 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 | 
| Entity Name | Mount Sinai School Of Medicine | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508127531 PECOS PAC ID: 6406096544 Enrollment ID: O20130712000368 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pinchi Sundaram Srinivasan, MD Po Box 27842, New York, NY 10087-7842 Ph: (718) 661-8711 | Pinchi Sundaram Srinivasan, MD 5645 Main St, Flushing, NY 11355-5045 Ph: (718) 670-1800 | 
| Alicia Marie Mcbride, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5645 Main St Fl 1, Flushing, NY 11355 Phone: 718-670-1800 | |
| David Ko, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13743 45th Ave, Flushing, NY 11355 Phone: 929-362-3006 Fax: 929-362-3026 | |
| Efthemia Nicolopoulos, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1800 Fax: 516-437-4167 | |
| Lori R Hoch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14149 70th Rd, Flushing, NY 11367 Phone: 718-268-5282 | |
| Kathleen Phung, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13743 45th Ave, Flushing, NY 11355 Phone: 929-362-3006 Fax: 929-362-3026 | |
| Dr. Alan Davis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1033 |