| Reethamma Daniel, MD | |
|
1000 Montauk Hwy, West Islip, NY 11795-4927 | |
| (631) 376-3000 | |
| Not Available |
| Full Name | Reethamma Daniel |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1000 Montauk Hwy, West Islip, 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 |
|---|---|---|---|
| 1235164609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 173029 (New York) | Primary |
| Entity Name | Samaritan Emergency Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104978014 PECOS PAC ID: 7012016660 Enrollment ID: O20070621000503 |
| Mailing Address | Practice Location Address |
|---|---|
| Reethamma Daniel, MD Po Box 6010, Hauppauge, NY 11788-9010 Ph: (631) 232-4000 | Reethamma Daniel, MD 1000 Montauk Hwy, West Islip, NY 11795-4927 Ph: (631) 376-3000 |
Desiree Lariosa Catalan, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-4163 | |
Dr. Branda Shrivastava, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-4161 | |
Dr. Kolathu A Mathew, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 720 Montauk Hwy, West Islip, NY 11795 Phone: 631-669-2900 Fax: 631-669-2547 | |
Dr. Eldose Cherian George, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 720 Montauk Hwy, West Islip, NY 11795 Phone: 631-669-2900 | |
Dr. Mary J Bilder, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 239 Higbie Ln, West Islip, NY 11795 Phone: 631-376-6000 Fax: 631-376-6031 | |
Timothy George, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 239 Higbie Ln, West Islip, NY 11795 Phone: 631-376-6000 Fax: 631-376-6031 |