| Robert Frederick Mazzeo, MD | |
|
640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 | |
| (631) 737-0100 | |
| (631) 737-0100 |
| Full Name | Robert Frederick Mazzeo |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 44 Years |
| Location | 640 Hawkins Ave, Lake Ronkonkoma, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043240534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 162565 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advantagecare Physicians Pc | 2365735008 | 302 |
| Entity Name | Advantagecare Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336578772 PECOS PAC ID: 2365735008 Enrollment ID: O20160719000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Frederick Mazzeo, MD 55 Water Street, 2nd Floor Cred Dept, New York, NY 10041-0004 Ph: (646) 680-2888 | Robert Frederick Mazzeo, MD 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 Ph: (631) 737-0100 |
Khadiga Ahmed, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-471-0100 Fax: 631-471-1000 | |
Jack Z Nussbaum, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 388 Hawkins Ave, Ste 1, Lake Ronkonkoma, NY 11779 Phone: 631-588-8460 Fax: 631-588-8480 | |
Manuel R Rosales, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 388 Hawkins Ave, Ste 1, Lake Ronkonkoma, NY 11779 Phone: 631-588-8460 Fax: 631-588-8480 | |
Dr. David I Hauer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 388 Hawkins Ave, Ste 1, Lake Ronkonkoma, NY 11779 Phone: 631-588-8460 Fax: 631-588-8480 | |
Dr. Bhanumathy Vinayagasundaram, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Hawkins Avenue, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-471-1117 | |
Robert Andrew Tufano, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Portion Rd, Lake Ronkonkoma, NY 11779 Phone: 631-981-1333 Fax: 631-981-2326 |