Dr Blake Allister Le Grand, MD | |
325 S Highland Ave Ste 106, Briarcliff Manor, NY 10510-2054 | |
(914) 366-0015 | |
(914) 366-0012 |
Full Name | Dr Blake Allister Le Grand |
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Gender | Male |
Speciality | Pediatrics |
Location | 325 S Highland Ave Ste 106, Briarcliff Manor, 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 |
---|---|---|---|
1699272567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA11081300 (New Jersey) | Secondary |
208000000X | Pediatrics | 308910 (New York) | Primary |
Entity Name | Boston Children's Health Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 |
Mailing Address | Practice Location Address |
---|---|
Dr Blake Allister Le Grand, MD 38 1/2 Wolden Rd Apt C2-8, Ossining, NY 10562-5312 Ph: (347) 992-0736 | Dr Blake Allister Le Grand, MD 325 S Highland Ave Ste 106, Briarcliff Manor, NY 10510-2054 Ph: (914) 366-0015 |
Dr. Jane E. Hoffman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 325 S Highland Ave, Briarcliff Manor, NY 10510 Phone: 914-762-0015 Fax: 914-762-0070 | |
Matthew M Dugan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 537 N State Rd, Care Mount Medical Pc, Briarcliff Manor, NY 10510 Phone: 914-941-2129 Fax: 914-941-1969 | |
Dr. Kristin M Roye, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 325 S Highland Ave, Briarcliff Manor, NY 10510 Phone: 914-366-0015 Fax: 914-366-0012 | |
Margaret A Jahn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 325 South Highland Avenue, Briarcliff Manor, NY 10510 Phone: 914-366-0015 Fax: 914-366-0012 | |
Dr. Desiree Consuelo Perez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 127 Woodside Ave, Suite 204, Briarcliff Manor, NY 10510 Phone: 914-762-2276 Fax: 914-762-2894 | |
Dr. Luci A Morrone, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 325 S Highland Ave, Briarcliff Manor, NY 10510 Phone: 914-762-0015 Fax: 914-762-0070 | |
Douglas L Krohn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 537 N State Rd, Care Mount Medical Pc, Briarcliff Manor, NY 10510 Phone: 914-941-2129 Fax: 914-941-1969 |