| Simone Rudnin, DO | |
|
475 Seaview Ave, Staten Island, NY 10305-3436 | |
| (718) 226-8855 | |
| Not Available |
| Full Name | Simone Rudnin |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 475 Seaview Ave, Staten Island, 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 |
|---|---|---|---|
| 1144752270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 303697-01 (New York) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Simone Rudnin, DO 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: () - | Simone Rudnin, DO 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: (718) 226-8855 |
Shamyla Farrukh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9158 Fax: 718-226-6964 | |
Dr. Shorok E Hassan, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9000 | |
Patrick Kettyle, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-8855 | |
Edward Adrian, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 355 Bard Ave, Emergency Dept, Staten Island, NY 10310 Phone: 718-818-2055 Fax: 212-356-4608 | |
Paul Bollmeyer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 355 Bard Ave, Staten Island, NY 10310 Phone: 718-818-2055 Fax: 212-356-4608 | |
Ann Marchesano, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 355 Bard Ave, Emergency Dept, Staten Island, NY 10310 Phone: 718-818-2055 Fax: 212-356-4608 | |
Dr. Teresa Myongeun Choe, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-8855 |