| Fruma Leah Wiederman, PA-C | |
|
1800 Rockaway Ave, Hewlett, NY 11557-1665 | |
| (516) 887-4335 | |
| Not Available |
| Full Name | Fruma Leah Wiederman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 1800 Rockaway Ave, Hewlett, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881828549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 093097 (New York) | Secondary |
| 363A00000X | Physician Assistant | 013097 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ahava Medical And Rehabilitation Center, Llc | 1557416997 | 150 |
| Entity Name | Advanced Dermatology PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134201460 PECOS PAC ID: 3274526850 Enrollment ID: O20040407001573 |
| Entity Name | Ahava Medical and Rehabilitation Center, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184878274 PECOS PAC ID: 1557416997 Enrollment ID: O20090908000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Fruma Leah Wiederman, PA-C 1800 Rockaway Ave, Hewlett, NY 11557-1665 Ph: (516) 887-4335 | Fruma Leah Wiederman, PA-C 1800 Rockaway Ave, Hewlett, NY 11557-1665 Ph: (516) 887-4335 |
Nina Glaittli, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1800 Rockaway Ave, Hewlett, NY 11557 Phone: 516-887-4343 |
Antonio Numa Sr., Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5 Fiesta Ct, Hewlett, NY 11557 Phone: 347-393-0307 |
Muhammad Shams, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1512 Broadway, Hewlett, NY 11557 Phone: 516-374-6838 Fax: 516-374-2362 |
Mrs. Michelle Rozana Bacchus, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1800 Rockaway Ave Ste 100, Hewlett, NY 11557 Phone: 516-887-4343 Fax: 516-887-8569 |
Oria Melloul, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1800 Rockaway Ave Ste 100, Hewlett, NY 11557 Phone: 516-887-4343 Fax: 516-887-8569 |
Tyler Mannino, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1512 Broadway, Hewlett, NY 11557 Phone: 516-374-6838 Fax: 516-374-2362 |
Elana Lubianker, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 338 Felter Ave, Hewlett, NY 11557 Phone: 516-489-8768 |