| Sneha Chittabathini, | |
|
19 W Jericho Tpke, Huntington Station, NY 11746-3627 | |
| (631) 604-4023 | |
| Not Available |
| Full Name | Sneha Chittabathini |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 19 W Jericho Tpke, Huntington Station, 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 |
|---|---|---|---|
| 1912587833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 329320 (New York) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Central Suffolk Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043402050 PECOS PAC ID: 4981508082 Enrollment ID: O20031120000840 |
| Entity Name | North Shore Lij Urgent Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679970891 PECOS PAC ID: 6002131778 Enrollment ID: O20150223000060 |
| Mailing Address | Practice Location Address |
|---|---|
| Sneha Chittabathini, 22 Terrell Ln, Hicksville, NY 11801-5617 Ph: () - | Sneha Chittabathini, 19 W Jericho Tpke, Huntington Station, NY 11746-3627 Ph: (631) 604-4023 |
Laurie J. Costello, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 E Pulaski Rd, Huntington Station, NY 11746 Phone: 631-425-2121 Fax: 631-425-2193 | |
Lisa A Baker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 E Pulaski Rd, Huntington Station, NY 11746 Phone: 631-425-2121 Fax: 631-425-2193 | |
Michele Baltus, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 E Pulaski Rd, Huntington Station, NY 11746 Phone: 631-425-2121 Fax: 631-425-2193 | |
Christine Palazzolo, NP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 18 Bennett Ave, Huntington Station, NY 11746 Phone: 631-873-7847 | |
Edward Strogach, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 E Pulaski Rd, Huntington Station, NY 11746 Phone: 631-425-2121 Fax: 631-425-2193 |