| Ross Orthopedic Group Pc | |
|
161 Willis Ave Mineola NY 11501-2616 | |
| (516) 742-0034 | |
| (516) 742-0043 |
| Full Name | Ross Orthopedic Group Pc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 161 Willis Ave, Mineola, New York |
| Authorized Official Name and Position | Bruce R Ross (PRESIDENT) |
| Authorized Official Contact | 5167420034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ross Orthopedic Group Pc 161 Willis Ave Mineola NY 11501-2616 Ph: (516) 742-0034 | Ross Orthopedic Group Pc 161 Willis Ave Mineola NY 11501-2616 Ph: (516) 742-0034 |
| NPI Number | 1528031259 |
|---|---|
| Provider Enumeration Date | 02/13/2006 |
| Last Update Date | 04/08/2008 |
| Medicare PECOS PAC ID | 3274517925 |
|---|---|
| Medicare Enrollment ID | O20070822001001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528031259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
| Provider Name | Bruce R Ross |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295708600 PECOS PAC ID: 8729062476 Enrollment ID: I20051007000762 |
| Provider Name | Bernard J Savella |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720020845 PECOS PAC ID: 4981610649 Enrollment ID: I20060304000002 |
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