Dr Dianah Thelma Lake, MD | |
1400 Pelham Pkwy S, Bronx, NY 10461-1138 | |
(718) 918-5820 | |
Not Available |
Full Name | Dr Dianah Thelma Lake |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 1400 Pelham Pkwy S, Bronx, 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 |
---|---|---|---|
1003952375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 25MA08177800 (New Jersey) | Primary |
207P00000X | Emergency Medicine | MD21481 (Maine) | Secondary |
Entity Name | Childrens Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130 |
Mailing Address | Practice Location Address |
---|---|
Dr Dianah Thelma Lake, MD 8 Leo Ter, Bloomfield, NJ 07003-4414 Ph: (917) 334-2381 | Dr Dianah Thelma Lake, MD 1400 Pelham Pkwy S, Bronx, NY 10461-1138 Ph: (718) 918-5820 |
Dr. Thomas Henry Parry, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 234 E 149th St, Bronx, NY 10451 Phone: 718-579-6010 | |
May Yee Helman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 718-992-7669 | |
Dr. Angelica Rosa Angiulli, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1825 Eastchester Rd, Bronx, NY 10461 Phone: 718-904-2904 | |
Dr. Patrick Spencer Eiben, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Pelham Pkwy S, Building 6//suite B125, Bronx, NY 10461 Phone: 718-918-5820 | |
Nai Li, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4422 3rd Ave, Bronx, NY 10457 Phone: 718-960-9000 | |
Vinay Saggar, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 Pelham Pkwy S Ste B125, Bronx, NY 10461 Phone: 718-918-5820 | |
Joshua Ronald Gravel, MD, MSC Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 234 E 149th St, Bronx, NY 10451 Phone: 239-233-1156 |