| Fazli A Halimi, | |
|
1585 Dutch Broadway, Valley Stream, NY 11580-1333 | |
| (516) 490-6300 | |
| Not Available |
| Full Name | Fazli A Halimi |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 1585 Dutch Broadway, Valley Stream, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710848262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 034374 (New York) | Primary |
| Entity Name | St John's Medical Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023042173 PECOS PAC ID: 1850314865 Enrollment ID: O20060105000203 |
| Entity Name | Divinity Medical Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497159560 PECOS PAC ID: 5193030245 Enrollment ID: O20150818005362 |
| Mailing Address | Practice Location Address |
|---|---|
| Fazli A Halimi, 1585 Dutch Broadway, Valley Stream, NY 11580-1333 Ph: (516) 490-6300 | Fazli A Halimi, 1585 Dutch Broadway, Valley Stream, NY 11580-1333 Ph: (516) 490-6300 |
Mr. Alfonso Manuel Azucar, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 260 W Sunrise Hwy Ste 200, Valley Stream, NY 11581 Phone: 516-825-3600 Fax: 516-823-2051 |
Bruna Faria Martins, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 |
Kaitlyn Rae Roeda, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 |
Jake Bresnihan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 |
Ms. Mariann Margaret Braito, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 |
Mr. Preston Darian Totesau-johnson, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 66 Fletcher Ave, Valley Stream, NY 11580 Phone: 917-216-1142 |
Nicholas Crozier, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 |