| Dr Taras Vysotskyy, | |
|
45 Richmond Blvd, Unit 2a, Ronkonkoma, NY 11779-3622 | |
| (516) 695-0112 | |
| Not Available |
| Full Name | Dr Taras Vysotskyy |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 11 Years |
| Location | 45 Richmond Blvd, Ronkonkoma, 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 |
|---|---|---|---|
| 1962810036 | NPI | - | NPPES |
| 005677 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 005677 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Westchester Medical Center | Valhalla, NY | Hospital |
| Vassar Brothers Medical Center | Poughkeepsie, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lewis J. Sims, Dpm P.c. | 6406754688 | 7 |
| Provider Name | Lewis J. Sims, Dpm P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639179294 PECOS PAC ID: 6406754688 Enrollment ID: O20031226000016 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Taras Vysotskyy, 45 Richmond Blvd, Unit 2a, Ronkonkoma, NY 11779-3622 Ph: (516) 695-0112 | Dr Taras Vysotskyy, 45 Richmond Blvd, Unit 2a, Ronkonkoma, NY 11779-3622 Ph: (516) 695-0112 |
Mr. Evan Thomas Latourrette, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 382 Rosevale Ave, Ronkonkoma, NY 11779 Phone: 631-667-0388 Fax: 631-968-7705 | |
Dr. Peter F Taormino, D. P. M. Podiatrist Medicare: Medicare Enrolled Practice Location: 201 Portion Rd, Ste C, Ronkonkoma, NY 11779 Phone: 631-467-2813 Fax: 631-467-1417 | |
Dr. Jeffrey Muroff, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 500 Portion Rd, Suite 1, Ronkonkoma, NY 11779 Phone: 631-588-0888 Fax: 631-588-1193 |