Annette Perea, MD | |
4008 Forley St, Elmhurst, NY 11373-1427 | |
(718) 446-0270 | |
(718) 446-5939 |
Full Name | Annette Perea |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4008 Forley St, Elmhurst, 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 |
---|---|---|---|
1811913452 | NPI | - | NPPES |
02356572 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 225537 (New York) | Primary |
Entity Name | 93-17 Medical Office Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871707372 PECOS PAC ID: 2860645397 Enrollment ID: O20240322000743 |
Mailing Address | Practice Location Address |
---|---|
Annette Perea, MD 4008 Forley Street, Elmhurst, NY 11373-1493 Ph: (718) 446-0270 | Annette Perea, MD 4008 Forley St, Elmhurst, NY 11373-1427 Ph: (718) 446-0270 |
Carlos Andres Paredes Ponce, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-3050 | |
Oleg Sirkis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Tina Q Cheng, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Suite A1-18, Elmhurst, NY 11373 Phone: 718-334-1991 Fax: 718-334-1971 | |
Maria Christina Stavroulakis, Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-2156 | |
Melvin Gertner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Azfar Shabbir, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 79-01 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Lucy Lim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Rooma1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 |