| Ms Caroline Leung, PA-C, RD | |
|
3716 108th St, Corona, NY 11368-2025 | |
| (718) 651-4000 | |
| Not Available |
| Full Name | Ms Caroline Leung |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3716 108th St, Corona, 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 |
|---|---|---|---|
| 1073945390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 023295 (New York) | Primary |
| 133V00000X | Dietitian, Registered | 1065954 (New York) | Secondary |
| Entity Name | Sun River Health Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Caroline Leung, PA-C, RD 1065 Southern Blvd, Bronx, NY 10459-2417 Ph: (718) 589-2440 | Ms Caroline Leung, PA-C, RD 3716 108th St, Corona, NY 11368-2025 Ph: (718) 651-4000 |
Ruoru Wong, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3717 111th St Apt 5e, Corona, NY 11368 Phone: 347-893-4912 |
Jose Dario Ovalle, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 102 11 Roosevelt Ave., Corona, NY 11368 Phone: 717-898-5200 Fax: 718-898-3673 |
Mr. Luis A Blanco, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10211 Roosevelt Ave, Corona, NY 11368 Phone: 718-898-1386 Fax: 718-898-1093 |
Batya Papa, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3911 104th St Fl 2, Corona, NY 11368 Phone: 718-440-8375 Fax: 718-424-0450 |
Dr. Dominic Kanhai Hardatt, DMSC, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5828 99th St, Corona, NY 11368 Phone: 718-502-9867 |
Christian Diaz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3716 108th St, Corona, NY 11368 Phone: 718-651-4000 |
Noemi Lizbeth Rodriguez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3712 108th St, Corona, NY 11368 Phone: 718-651-4000 |