Dr Brian Ghezelaiagh, MD | |
2500 Nesconset Hwy Bldg 17c, Stony Brook, NY 11790-2563 | |
(631) 210-6305 | |
(631) 292-7376 |
Full Name | Dr Brian Ghezelaiagh |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2500 Nesconset Hwy Bldg 17c, Stony Brook, 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 |
---|---|---|---|
1033616206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 312913 (New York) | Primary |
Entity Name | Brian Ghezelaiagh, Md, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659140747 PECOS PAC ID: 6002258746 Enrollment ID: O20240524003338 |
Mailing Address | Practice Location Address |
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Dr Brian Ghezelaiagh, MD 2500 Nesconset Hwy Bldg 17c, Stony Brook, NY 11790-2563 Ph: (631) 210-6305 | Dr Brian Ghezelaiagh, MD 2500 Nesconset Hwy Bldg 17c, Stony Brook, NY 11790-2563 Ph: (631) 210-6305 |
Dr. Maged Sobhy Soliman, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Child And Adolescent Psychiatry Outpatient Department, 169 Putnam Hall, Stony Brook, NY 11794 Phone: 631-632-8850 | |
Dr. Adeeb Yacoub, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Health Sciences Center -, T10, Stony Brook, NY 11794 Phone: 631-444-6050 | |
Dr. Shennan Aibel Weiss, M.D., PH.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 Nicolls Rd Rm 20, Stony Brook, NY 11794 Phone: 631-444-2599 | |
Kamil Stefanowski, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-444-2599 | |
Dr. Mark Sedler, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Health Sciences Center - T10, Stony Brook, NY 11790 Phone: 631-444-2571 | |
Dr. Zoya Popivker, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Department Of Psychiatry, Putnam Hall, Suny At Stony Brook, Stony Brook, NY 11794 Phone: 631-632-8850 Fax: 631-632-4448 |