Brian Su, MD | |
157 E Woodside Ave, East Patchogue, NY 11772-1421 | |
(631) 475-1900 | |
(631) 475-1955 |
Full Name | Brian Su |
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Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 157 E Woodside Ave, East Patchogue, 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 |
---|---|---|---|
1205307154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 317628 (New York) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 317628 (New York) | Primary |
Entity Name | Brookdale Hospital Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720028772 PECOS PAC ID: 4284545799 Enrollment ID: O20031120000600 |
Entity Name | Interfaith Professional Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457643991 PECOS PAC ID: 9931378171 Enrollment ID: O20110804000598 |
Mailing Address | Practice Location Address |
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Brian Su, MD 157 E Woodside Ave, East Patchogue, NY 11772-1421 Ph: (631) 475-1900 | Brian Su, MD 157 E Woodside Ave, East Patchogue, NY 11772-1421 Ph: (631) 475-1900 |
Joel Myladoor Chandy, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 260 Patchogue Yaphank Rd, East Patchogue, NY 11772 Phone: 631-289-0300 | |
Qazi Qaisar Afzal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 285 Sills Rd, Building 7, Suite B, East Patchogue, NY 11772 Phone: 631-654-4577 Fax: 631-654-3391 | |
Amit Sankar Mandal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Rd Ste 201, East Patchogue, NY 11772 Phone: 631-475-6900 | |
Shahriar Joseph Khalili, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 285 Sills Road, Building #14, East Patchogue, NY 11772 Phone: 631-447-8300 Fax: 631-447-8872 | |
Ajish Pillai, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 260 Patchogue Yaphank Rd Ste C, East Patchogue, NY 11772 Phone: 215-762-7000 | |
Robert M Chernaik, MD Nephrology Medicare: Medicare Enrolled Practice Location: 285 Sills Rd Bldg 4d, East Patchogue, NY 11772 Phone: 631-654-1800 Fax: 631-240-9181 |