Alexandra Logan, MD | |
1425 Portland Ave, Rochester, NY 14621-3001 | |
(585) 922-5067 | |
(585) 922-2908 |
Full Name | Alexandra Logan |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 1425 Portland Ave, Rochester, 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 |
---|---|---|---|
1205820008 | NPI | - | NPPES |
03007063/NWK | Medicaid | NY | |
31696100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 251865 (New York) | Secondary |
207R00000X | Internal Medicine | 251865 (New York) | Primary |
Entity Name | Westchester Medical Center Advanced Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912131392 PECOS PAC ID: 3173660776 Enrollment ID: O20091031000042 |
Entity Name | St Josephs Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744 |
Entity Name | New York Medical Physician Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578316501 PECOS PAC ID: 6709226350 Enrollment ID: O20240430000132 |
Mailing Address | Practice Location Address |
---|---|
Alexandra Logan, MD 1425 Portland Ave, Rochester, NY 14621-3001 Ph: (585) 922-5067 | Alexandra Logan, MD 1425 Portland Ave, Rochester, NY 14621-3001 Ph: (585) 922-5067 |
Amy Bodrog, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1425 Portland Ave, Rochester, NY 14621 Phone: 585-922-4020 Fax: 585-922-4622 | |
Natalia Golub, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Hagen Dr Ste 320, Rochester, NY 14625 Phone: 585-922-1900 | |
Hanan Ibrahim Sheikh Ibrahim, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 Portland Ave Ste 200, Rochester, NY 14621 Phone: 585-922-0390 Fax: 585-922-0395 | |
Numra Aslam Bajwa, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1425 Portland Ave, Rochester, NY 14621 Phone: 585-922-5067 Fax: 716-862-1871 | |
Dr. Prakash Upreti, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1425 Portland Ave, Rochester, NY 14621 Phone: 295-029-8769 | |
William M Valenti, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 259 Monroe Avenue, Rochester, NY 14607 Phone: 585-545-7200 Fax: 585-244-6456 | |
Ms. Terri Winter, N.P. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Crittenden Blvd, Box 617, Rochester, NY 14642 Phone: 585-275-2662 Fax: 585-276-0149 |