Alla R Joutovsky, MD | |
222 Station Plz N, Suite 606, Mineola, NY 11501-3808 | |
(516) 663-2468 | |
(516) 663-8824 |
Full Name | Alla R Joutovsky |
---|---|
Gender | Female |
Speciality | Pathology - Anatomic Pathology |
Location | 222 Station Plz N, Mineola, 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 |
---|---|---|---|
1730141847 | NPI | - | NPPES |
02677576 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0101X | Pathology - Anatomic Pathology | 229396 (New York) | Primary |
Entity Name | New York University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
Entity Name | Winthrop Community Medical Affiliates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457873077 PECOS PAC ID: 5698092385 Enrollment ID: O20150317001669 |
Mailing Address | Practice Location Address |
---|---|
Alla R Joutovsky, MD 222 Station Plz N, Suite 606, Mineola, NY 11501-3808 Ph: (516) 663-2468 | Alla R Joutovsky, MD 222 Station Plz N, Suite 606, Mineola, NY 11501-3808 Ph: (516) 663-2468 |
Dr. Xiaoling Xiong, Pathology Medicare: Medicare Enrolled Practice Location: 222 Station Plz N, 222 Station Piaza N - Ste 620, Mineola, NY 11501 Phone: 516-663-4560 Fax: 516-663-4581 | |
Andrea S. Flieder, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 222 Station Plz N, Suite 606, Mineola, NY 11501 Phone: 516-663-2468 Fax: 516-663-8824 | |
Jane Date Hon, Pathology Medicare: Accepting Medicare Assignments Practice Location: 222 Station Plz N Ste 618, Mineola, NY 11501 Phone: 516-663-2166 | |
Elena Selbs, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 222 Station Plz N, Suite 606, Mineola, NY 11501 Phone: 516-663-2468 Fax: 516-663-8824 | |
Jianhong Zhou, MD Pathology Medicare: May Accept Medicare Assignments Practice Location: 222 Station Plz N, Suite 606, Mineola, NY 11501 Phone: 516-663-2468 Fax: 516-663-8824 | |
Derek Jones, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 222 Station Plz N Ste 618, Mineola, NY 11501 Phone: 516-663-8524 | |
Jordan Baum, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 222 Station Plz N Ste 618, Mineola, NY 11501 Phone: 317-523-0841 |