Dr Cheng H Lo, MD | |
Va Medical Center, 79 Middleville Rd, Northport, NY 11768-2200 | |
(631) 621-4400 | |
Not Available |
Full Name | Dr Cheng H Lo |
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Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | Va Medical Center, Northport, 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 |
---|---|---|---|
1023037934 | NPI | - | NPPES |
1N0241 | Other | NY | EMPIRE BC.BS |
02574005 | Medicaid | NY | |
7187629 | Other | NY | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 232236 (New York) | Primary |
Entity Name | Mercy Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700834165 PECOS PAC ID: 4183535271 Enrollment ID: O20031215000145 |
Mailing Address | Practice Location Address |
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Dr Cheng H Lo, MD P.o. Box 1559, Stony Brook, NY 11790 Ph: () - | Dr Cheng H Lo, MD Va Medical Center, 79 Middleville Rd, Northport, NY 11768-2200 Ph: (631) 621-4400 |
Chanak Chantachote, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: Department Of Surgery, 79 Middleville Rd, Northport, NY 11725 Phone: 631-261-4400 | |
Dr. Andrew J Rochman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5 Pebble Hill Dr, Suite 205, Northport, NY 11768 Phone: 516-521-9937 Fax: 516-521-9937 | |
Dr. Soojin Ahn, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 79 Middleville Rd, Surgical Services, Northport, NY 11768 Phone: 631-233-2317 |