Dr David Mitchell Gold, MD | |
655 Deer Park Ave, Babylon, NY 11702-1314 | |
(631) 321-2100 | |
(631) 321-2246 |
Full Name | Dr David Mitchell Gold |
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Gender | Male |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 655 Deer Park Ave, Babylon, 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 |
---|---|---|---|
1801897657 | NPI | - | NPPES |
01592965 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0206X | Pediatrics - Pediatric Gastroenterology | 181623 (New York) | Primary |
Entity Name | Samaritan Pediatric Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730308925 PECOS PAC ID: 7618151887 Enrollment ID: O20110413000020 |
Mailing Address | Practice Location Address |
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Dr David Mitchell Gold, MD 655 Deer Park Ave, Babylon, NY 11702-1314 Ph: (631) 321-2100 | Dr David Mitchell Gold, MD 655 Deer Park Ave, Babylon, NY 11702-1314 Ph: (631) 321-2100 |
Marion B Rose, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 W Main St, Suite 204, Babylon, NY 11702 Phone: 631-539-5400 Fax: 631-539-5401 | |
Dr. Dmitriy Vaysman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 655 Deer Park Ave, Babylon, NY 11702 Phone: 631-321-2100 Fax: 631-321-2246 | |
Edward H Tom, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 50 N Carll Ave, Babylon, NY 11702 Phone: 631-661-3693 Fax: 631-661-3734 | |
Dr. Sarita Duchatelier, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 655 Deer Park Ave, Babylon, NY 11702 Phone: 631-321-2100 Fax: 631-321-2246 | |
Rohit Talwar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 West Main Street, Nslij Center For Specialty Care, Suite 204, Babylon, NY 11702 Phone: 631-539-5400 Fax: 631-539-5401 | |
Michael T Pugliese, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 655 Deer Park Ave, Babylon, NY 11702 Phone: 631-321-2100 Fax: 631-321-2246 | |
Eleonor Gutierrez Lazo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 West Main Street, Suite 328, Babylon, NY 11702 Phone: 631-376-1002 Fax: 631-376-1004 |