Dr Edward F Reda, MD | |
150 White Plains Rd, Suite 306, Tarrytown, NY 10591-5535 | |
(914) 493-8628 | |
(914) 493-8564 |
Full Name | Dr Edward F Reda |
---|---|
Gender | Male |
Speciality | Urology |
Location | 150 White Plains Rd, Tarrytown, 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 |
---|---|---|---|
1376579938 | NPI | - | NPPES |
00715586 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2088P0231X | Urology - Pediatric Urology | 149688 (New York) | Secondary |
208800000X | Urology | 149688 (New York) | Primary |
Entity Name | Pediatric Urology Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518989193 PECOS PAC ID: 5597656561 Enrollment ID: O20040322000453 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward F Reda, MD 247 Route 100, Suite 1002, Somers, NY 10589-3231 Ph: (914) 962-8290 | Dr Edward F Reda, MD 150 White Plains Rd, Suite 306, Tarrytown, NY 10591-5535 Ph: (914) 493-8628 |
Dr. Michael Conrad Degen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 86 Crest Dr, Tarrytown, NY 10591 Phone: 917-974-7191 | |
Richard Schlussel, MD Urology Medicare: Medicare Enrolled Practice Location: 150 White Plains Rd, Suite 306, Tarrytown, NY 10591 Phone: 914-493-8628 Fax: 914-493-8564 | |
Dr. Paul F Zelkovic, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 150 White Plains Rd, Sutie 306, Tarrytown, NY 10591 Phone: 914-493-8628 Fax: 914-493-8564 | |
Dr. Lori Dyer, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 150 White Plains Rd, Suite 306, Tarrytown, NY 10591 Phone: 914-493-8628 Fax: 914-493-8564 |