| Chandrashakar Tribhowan, PA | |
|
300 Community Dr, Manhasset, NY 11030-3816 | |
| (516) 562-0100 | |
| Not Available |
| Full Name | Chandrashakar Tribhowan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 300 Community Dr, Manhasset, 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 |
|---|---|---|---|
| 1073397212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 03020201 (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 |
|---|---|
| Chandrashakar Tribhowan, PA 9737 105th St, Ozone Park, NY 11416-2708 Ph: (929) 385-9313 | Chandrashakar Tribhowan, PA 300 Community Dr, Manhasset, NY 11030-3816 Ph: (516) 562-0100 |
Mr. Jose Luis Cruz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, North Shore University Hospital, Manhasset, NY 11030 Phone: 516-562-3683 Fax: 516-562-2843 |
Rebecca Kelly Vicente, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-0100 |
Mr. Daniel Martin Macgregor, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-0100 |
Mr. Aaron Kim, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-0100 |
Sandra Anghel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-2013 |
Ms. Ruth Ganthier, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-2103 |
Miss Kathryn E Alberti, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 914-960-1051 |