| Mark Granados, | |
|
100 Port Washington Blvd, Roslyn, NY 11576-1347 | |
| (516) 562-6000 | |
| Not Available |
| Full Name | Mark Granados |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 100 Port Washington Blvd, Roslyn, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871101006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 025159 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Modern Physician Services Pc | 6204140544 | 35 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Granados, 195 Elm Dr, Bay Shore, NY 11706-2135 Ph: (516) 808-5932 | Mark Granados, 100 Port Washington Blvd, Roslyn, NY 11576-1347 Ph: (516) 562-6000 |
Julia Cohen, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Port Washington Blvd, Roslyn, NY 11576 Phone: 516-562-6000 | |
Patrick Brennan, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Port Washington Blvd, Roslyn, NY 11576 Phone: 516-338-5358 | |
Kenneth Zielinski, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Port Washington Blvd, Roslyn, NY 11576 Phone: 516-338-5358 | |
Kimberly Sanford, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Port Washington Blvd, Roslyn, NY 11576 Phone: 516-562-6000 | |
Garrett Chan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Port Washington Blvd, Roslyn, NY 11576 Phone: 516-562-6000 | |
Winnie Deng, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Port Washington Blvd, Roslyn, NY 11576 Phone: 516-562-6000 | |
Mr. Ian Michael Goldin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Port Washington Blvd, Roslyn, NY 11576 Phone: 516-562-6199 |