Dr Eldose Cherian George, MD | |
720 Montauk Hwy, West Islip, NY 11795-4411 | |
(631) 669-2900 | |
Not Available |
Full Name | Dr Eldose Cherian George |
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Gender | Male |
Speciality | Pediatrics |
Location | 720 Montauk Hwy, West Islip, 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 |
---|---|---|---|
1114127990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 244503 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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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 |
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Dr Eldose Cherian George, MD 6 Cricket Ct, Deer Park, NY 11729-6809 Ph: (631) 940-0550 | Dr Eldose Cherian George, MD 720 Montauk Hwy, West Islip, NY 11795-4411 Ph: (631) 669-2900 |
Desiree Lariosa Catalan, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-4163 | |
Dr. Branda Shrivastava, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-4161 | |
Dr. Kolathu A Mathew, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 720 Montauk Hwy, West Islip, NY 11795 Phone: 631-669-2900 Fax: 631-669-2547 | |
Dr. Mary J Bilder, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 239 Higbie Ln, West Islip, NY 11795 Phone: 631-376-6000 Fax: 631-376-6031 | |
Timothy George, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 239 Higbie Ln, West Islip, NY 11795 Phone: 631-376-6000 Fax: 631-376-6031 | |
Reethamma Daniel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 |