Dr Antwan I Haskoor, MD | |
69 43 Central Ave, Glendale, NY 11385 | |
(718) 497-6711 | |
(718) 418-8248 |
Full Name | Dr Antwan I Haskoor |
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Gender | Male |
Speciality | Pediatrics |
Location | 69 43 Central Ave, Glendale, 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 |
---|---|---|---|
1104997295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 175230 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
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Dr Antwan I Haskoor, MD 69 43 Central Ave, Glendale, NY 11385 Ph: (718) 497-6711 | Dr Antwan I Haskoor, MD 69 43 Central Ave, Glendale, NY 11385 Ph: (718) 497-6711 |
Dr. Thomas Martin Rehm, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7713 79 Place, Glendale, NY 11385 Phone: 718-417-3344 Fax: 718-418-4124 | |
Eleonora Mezheritsky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6553 Myrtle Ave, Glendale, NY 11385 Phone: 718-366-5391 Fax: 718-418-3367 | |
Saul Grullon, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7848 73rd Pl, Glendale, NY 11385 Phone: 718-963-7272 | |
Natalya Leviyeva, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6943 Central Ave, Glendale, NY 11385 Phone: 171-849-7671 Fax: 718-418-8248 |