Dmitry V Samsonov, MD | |
19 Bradhurst Ave, Ste 1400, Hawthorne, NY 10532-2140 | |
(914) 493-7583 | |
(914) 594-4011 |
Full Name | Dmitry V Samsonov |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 35 Years |
Location | 19 Bradhurst Ave, Hawthorne, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356595862 | NPI | - | NPPES |
03266039 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0210X | Pediatrics - Pediatric Nephrology | 003556 (New York) | Secondary |
2080P0210X | Pediatrics - Pediatric Nephrology | 269800 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boston Children's Health Physicians Llp | 8325937014 | 63 |
Entity Name | Boston Children's Health Physicians Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 |
Entity Name | Metropolitan Medical Practice Plan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306138383 PECOS PAC ID: 8022286384 Enrollment ID: O20110713000171 |
Entity Name | Physician Affiliate Group Of New York Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013375526 PECOS PAC ID: 4688098833 Enrollment ID: O20200721001270 |
Mailing Address | Practice Location Address |
---|---|
Dmitry V Samsonov, MD Po Box 1020, Hawthorne, NY 10532-7507 Ph: (914) 493-7583 | Dmitry V Samsonov, MD 19 Bradhurst Ave, Ste 1400, Hawthorne, NY 10532-2140 Ph: (914) 493-7583 |
Dr. Andrew Joseph Bellantoni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 19 Skyline Dr Ste 800s, Hawthorne, NY 10532 Phone: 914-594-2150 | |
Jose L Munoz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 19 Bradhurst Ave, Ste. 1400, Hawthorne, NY 10532 Phone: 914-493-8333 Fax: 914-594-4366 | |
Dr. Allyson M Flower, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19 Skyline Dr, 1n-j08, Hawthorne, NY 10532 Phone: 914-493-7997 | |
Maria E Lombardi, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 19 Bradhurst Ave, Ste. 800, Hawthorne, NY 10532 Phone: 914-593-8850 Fax: 914-593-8833 | |
Dr. Christa Linda Miliaresis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19 Bradhurst Ave, Department Of Pediatric Cardiology, Hawthorne, NY 10532 Phone: 914-594-4370 | |
Aliza Esther Gardenswartz, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 19 Bradhurst Ave, Hawthorne, NY 10532 Phone: 914-493-7997 | |
Howard E Bostwick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 19 Bradhurst Ave, Ste. 1400, Hawthorne, NY 10532 Phone: 914-367-0000 Fax: 914-367-0001 |