Dr Anjana Poonthota, MD | |
707 E Main St, Middletown, NY 10940-2650 | |
(845) 333-3370 | |
(845) 333-3372 |
Full Name | Dr Anjana Poonthota |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 707 E Main St, Middletown, 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 |
---|---|---|---|
1417137696 | NPI | - | NPPES |
00630039 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 270027 (New York) | Primary |
Entity Name | Garnet Health Doctors Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093138851 PECOS PAC ID: 8628293545 Enrollment ID: O20140710000189 |
Mailing Address | Practice Location Address |
---|---|
Dr Anjana Poonthota, MD 707 E Main St, Middletown, NY 10940-2650 Ph: (845) 333-3370 | Dr Anjana Poonthota, MD 707 E Main St, Middletown, NY 10940-2650 Ph: (845) 333-3370 |
William Anthony Rose, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 Midway Park Drive, Orange Pediatric Associates Pc, Middletown, NY 10940 Phone: 845-343-0728 Fax: 845-343-2087 | |
Dr. Hartley S. Bancroft Ii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Midway Park Dr, Middletown, NY 10940 Phone: 845-343-0728 Fax: 845-343-2087 | |
Kathleen Byrne, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Pooja Chandra, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-7575 Fax: 845-333-7120 | |
Dr. Daniel Joseph Ohern, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Jill Hirsch, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-796-5807 | |
Hui Ling Deng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 |