Carlos H Montoya-iraheta, MD | |
120 Mineola Blvd, Suite 210, Mineola, NY 11501-4073 | |
(516) 663-4600 | |
(516) 663-4473 |
Full Name | Carlos H Montoya-iraheta |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 120 Mineola Blvd, 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 |
---|---|---|---|
1447292578 | NPI | - | NPPES |
01344747 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 188908 (New York) | Primary |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 188908 (New York) | Secondary |
Entity Name | Mount Sinai School Of Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508127531 PECOS PAC ID: 6406096544 Enrollment ID: O20130712000368 |
Entity Name | Icahn School Of Medicine At Mount Sinai |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801389614 PECOS PAC ID: 8921350851 Enrollment ID: O20181004000377 |
Mailing Address | Practice Location Address |
---|---|
Carlos H Montoya-iraheta, MD 222 Station Plz N, Suite 611, Mineola, NY 11501-3808 Ph: (516) 663-2532 | Carlos H Montoya-iraheta, MD 120 Mineola Blvd, Suite 210, Mineola, NY 11501-4073 Ph: (516) 663-4600 |
Manisha Sakore, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-3853 Fax: 516-663-8955 | |
Dr. Kim Ann Rutherford, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 717-531-8955 | |
Dr. Louise Marie Castiglia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 156 First Street, Mineola, NY 11501 Phone: 516-741-4082 | |
Estela De Los Angeles Noyola, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 259 1st St Dept Of, Mineola, NY 11501 Phone: 516-663-2288 Fax: 516-663-8955 | |
Kaitlin Boehm, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-8766 | |
Dr. Julie Weiser-shlefstein, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 County Seat Drive, Mineola, NY 11501 Phone: 516-227-9501 Fax: 517-227-9644 | |
Rolando Capati Guevarra, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 222 Station Plz N, Suite 408, Mineola, NY 11501 Phone: 516-663-8534 Fax: 516-663-8297 |