Cosman Camilo Mandujano Bejarano, | |
111 E 210th St, Bronx, NY 10467-2401 | |
(832) 675-0676 | |
Not Available |
Full Name | Cosman Camilo Mandujano Bejarano |
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Gender | Male |
Speciality | Surgery |
Location | 111 E 210th St, Bronx, 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 |
---|---|---|---|
1013399666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 312812 (New York) | Primary |
Entity Name | Montefiore Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
Mailing Address | Practice Location Address |
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Cosman Camilo Mandujano Bejarano, 330 Cedar Street,ynhh, Department Of Surgery, New Haven, CT 06520 Ph: (832) 675-0676 | Cosman Camilo Mandujano Bejarano, 111 E 210th St, Bronx, NY 10467-2401 Ph: (832) 675-0676 |
Dr. Sydney George Mccalla, M.B.B.S Surgery Medicare: Accepting Medicare Assignments Practice Location: 234 E 149th St, Bronx, NY 10451 Phone: 718-579-5000 Fax: 718-579-4620 | |
Dr. Mahalingam Sivakumar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1650 Selwyn Ave, Acn Morris, Bronx, NY 10457 Phone: 718-960-1320 Fax: 718-960-1051 | |
Dr. Rajendra J Saraiya, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: Department Of Surgery 1650, Selwyn Avenue, Apt # 4a, Bronx, NY 10457 Phone: 718-960-1210 | |
Dr. Eugene Michael Edynak, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797 | |
Howard R Doyle, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: Mmc - Critical Care Medicine Moses Div, 111 East 210th Street, Bronx, NY 10467 Phone: 718-920-2479 | |
Walter J.b. Hodgson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1575 Blondell Avenue, Ste. 125, Montefiore Medical Park, Bronx, NY 10461 Phone: 718-405-8239 |