Daniel E Koblentz, MD | |
1037 Main St, Peekskill, NY 10566-2913 | |
(914) 734-8800 | |
(914) 734-8808 |
Full Name | Daniel E Koblentz |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1037 Main St, Peekskill, 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 |
---|---|---|---|
1043235435 | NPI | - | NPPES |
00473038 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 110977 (New York) | Primary |
Entity Name | Damian Family Care Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508955592 PECOS PAC ID: 6507849882 Enrollment ID: O20151015001737 |
Mailing Address | Practice Location Address |
---|---|
Daniel E Koblentz, MD 1200 Brown St, Credentialing Dept., Peekskill, NY 10566-3617 Ph: (914) 734-8858 | Daniel E Koblentz, MD 1037 Main St, Peekskill, NY 10566-2913 Ph: (914) 734-8800 |
Ryang J. Suh, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 750 Washington St, Peekskill Csc, Peekskill, NY 10566 Phone: 914-995-5233 | |
Dr. Frank Richard Pastore, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1040 Main St, Peekskill, NY 10566 Phone: 914-737-8217 Fax: 914-734-2494 | |
Dr. Andy Paul Casimir, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1037 Main St, Hudson River Healthcare, Inc., Peekskill, NY 10566 Phone: 914-734-8740 Fax: 914-734-8758 | |
Dr. Lisa I. Aaron, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1101 Main St, C/o Wjcs, Peekskill, NY 10566 Phone: 914-737-7338 Fax: 914-737-1050 |