Abolaji Sangosanya, MD | |
27 Park Ave, 2nd Floor, Binghamton, NY 13903-1605 | |
(607) 772-6266 | |
(607) 772-8567 |
Full Name | Abolaji Sangosanya |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 27 Park Ave, Binghamton, 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 |
---|---|---|---|
1932100963 | NPI | - | NPPES |
01161191 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 123460 (New York) | Primary |
Entity Name | Nautilus Health Care Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912013558 PECOS PAC ID: 5991604852 Enrollment ID: O20040108000803 |
Mailing Address | Practice Location Address |
---|---|
Abolaji Sangosanya, MD 346 Grand Ave, Johnson City, NY 13790-2558 Ph: (607) 770-0025 | Abolaji Sangosanya, MD 27 Park Ave, 2nd Floor, Binghamton, NY 13903-1605 Ph: (607) 772-6266 |
Lawrence Kerr, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 27 Park Ave, Second Floor, Binghamton, NY 13903 Phone: 607-772-6266 Fax: 607-772-8567 | |
Dr. Alexander John Kaminsky, M.D., M.P.H Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 27 Park Ave, 2nd Fl, Binghamton, NY 13903 Phone: 607-772-6266 Fax: 607-772-8567 | |
Armando Bernabe Mata, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 161 Riverside Drive, Suite 106, Binghamton, NY 13905 Phone: 607-729-0101 Fax: 607-729-5693 | |
Lucia Collar Yagas, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 27 Park Ave, Fl 2, Binghamton, NY 13903 Phone: 607-772-6266 | |
Bohdan Fedczuk, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 27 Park Ave, Second Floor, Binghamton, NY 13903 Phone: 607-772-6266 Fax: 607-772-8567 |