| Rolando Capati Guevarra, MD | |
|
222 Station Plz N, Suite 408, Mineola, NY 11501-3808 | |
| (516) 663-8534 | |
| (516) 663-8297 |
| Full Name | Rolando Capati Guevarra |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Gastroenterology |
| Location | 222 Station Plz N, Mineola, 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 |
|---|---|---|---|
| 1063421196 | NPI | - | NPPES |
| 02423403 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | 217710 (New York) | Primary |
| Entity Name | Samaritan Pediatric Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730308925 PECOS PAC ID: 7618151887 Enrollment ID: O20110413000020 |
| Mailing Address | Practice Location Address |
|---|---|
| Rolando Capati Guevarra, MD 222 Station Plz N, Suite 611, Mineola, NY 11501-3808 Ph: (516) 663-2532 | Rolando Capati Guevarra, MD 222 Station Plz N, Suite 408, Mineola, NY 11501-3808 Ph: (516) 663-8534 |
Manisha Sakore, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-3853 Fax: 516-663-8955 | |
Dr. Kim Ann Rutherford, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 717-531-8955 | |
Dr. Louise Marie Castiglia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 156 First Street, Mineola, NY 11501 Phone: 516-741-4082 | |
Estela De Los Angeles Noyola, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 259 1st St Dept Of, Mineola, NY 11501 Phone: 516-663-2288 Fax: 516-663-8955 | |
Kaitlin Boehm, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-8766 | |
Dr. Julie Weiser-shlefstein, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 County Seat Drive, Mineola, NY 11501 Phone: 516-227-9501 Fax: 517-227-9644 |