Barbara J Cusumano, MD | |
5 Squiretown Rd, Hampton Bays, NY 11946 | |
(631) 728-5300 | |
(631) 728-5360 |
Full Name | Barbara J Cusumano |
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Gender | Female |
Speciality | Pediatrics |
Location | 5 Squiretown Rd, Hampton Bays, 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 |
---|---|---|---|
1023172418 | NPI | - | NPPES |
0193414 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 1644201 (New York) | Primary |
Entity Name | Stony Brook Children's Service, University Faculty Practice Corporatio |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083660575 PECOS PAC ID: 8921993551 Enrollment ID: O20040220000822 |
Mailing Address | Practice Location Address |
---|---|
Barbara J Cusumano, MD 45 Research Way Ste 105, Stonybrook Childrens Services, Ufpc, East Setauket, NY 11733-6401 Ph: (631) 675-2125 | Barbara J Cusumano, MD 5 Squiretown Rd, Hampton Bays, NY 11946 Ph: (631) 728-5300 |
Robert J Gottlieb, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5 Squiretown Rd, Hampton Bays, NY 11946 Phone: 631-728-5300 Fax: 631-728-5360 | |
Joseph B Quinn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5 Squiretown Rd, Hampton Bays, NY 11946 Phone: 631-728-5300 Fax: 631-728-5360 | |
Dr. Evonne H Kaplan-liss, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 West Montauk Highway, Hampton Bays, NY 11946 Phone: 631-723-5000 | |
James Bedell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3 Washington Dr, Hampton Bays, NY 11946 Phone: 408-513-4963 | |
Linda Hamilton, ARNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 Squiretown Rd, Hampton Bays, NY 11946 Phone: 631-728-5300 Fax: 631-728-5360 | |
Emily Pederson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 Squiretown Road, Hampton Bays, NY 11946 Phone: 631-728-5300 |