Dr Buenaventura I Pelina, MD | |
244 Buel Ave, Staten Island, NY 10305-1204 | |
(718) 351-9389 | |
Not Available |
Full Name | Dr Buenaventura I Pelina |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 244 Buel Ave, Staten Island, 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 |
---|---|---|---|
1194817783 | NPI | - | NPPES |
00609105 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 131424 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
---|---|
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 |
---|---|
Dr Buenaventura I Pelina, MD 244 Buel Ave, Staten Island, NY 10305-1204 Ph: (718) 351-9389 | Dr Buenaventura I Pelina, MD 244 Buel Ave, Staten Island, NY 10305-1204 Ph: (718) 351-9389 |
Dr. Emanuel Lazar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Seguine Ave, Staten Island, NY 10309 Phone: 718-356-3838 Fax: 718-356-0174 | |
Dr. Jessie Bautista Pita, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 235 Port Richmond Ave, Staten Island, NY 10302 Phone: 718-876-1732 Fax: 718-876-3459 | |
Dr. Edward D Mccabe, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 242 Mason Ave, Staten Island, NY 10305 Phone: 718-226-6262 Fax: 718-226-6531 | |
Sabrina Dukach, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 355 Bard Ave, Pediatrics Rm 314, Staten Island, NY 10310 Phone: 718-818-4636 | |
Dr. Brian W.j. Mccarthy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4982 Hylan Blvd, Staten Island, NY 10312 Phone: 718-967-6200 Fax: 718-967-6314 | |
Mr. Clifford A Mevs, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 148 New Dorp Lane, 2nd Floor, Staten Island, NY 10306 Phone: 718-980-5437 Fax: 718-979-2653 | |
Dr. Emelita Riego De Dios Castor, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2040 Forest Ave, Staten Island, NY 10303 Phone: 718-761-2060 Fax: 718-982-7647 |