Dr Emerth Lance Coburn, MD | |
227-19 Merrick Blvd, Laurelton, NY 11413 | |
(718) 276-4482 | |
(718) 276-4783 |
Full Name | Dr Emerth Lance Coburn |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 227-19 Merrick Blvd, Laurelton, 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 |
---|---|---|---|
1477544096 | NPI | - | NPPES |
01617674 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 198832 (New York) | Primary |
Entity Name | American Medical Today Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710471800 PECOS PAC ID: 1254680366 Enrollment ID: O20180829002552 |
Mailing Address | Practice Location Address |
---|---|
Dr Emerth Lance Coburn, MD 214-01 110th Avenue, Queens Village, NY 11429 Ph: (718) 276-4482 | Dr Emerth Lance Coburn, MD 227-19 Merrick Blvd, Laurelton, NY 11413 Ph: (718) 276-4482 |
Lionel Emanuel Desroches, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22414 Merrick Blvd, Laurelton, NY 11413 Phone: 718-949-6433 Fax: 718-949-0331 | |
Caroline Cobblah, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 13023 223rd St, Laurelton, NY 11413 Phone: 516-604-6654 | |
Lubaina Haider, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 22802 Merrick Blvd Fl 1, Laurelton, NY 11413 Phone: 646-501-4950 Fax: 929-455-9604 | |
Dr. Antonio Joseph Jr., M.D., Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22414 Merrick Blvd, Laurelton, NY 11413 Phone: 718-949-6433 Fax: 718-949-0331 | |
Michel-jose Charles, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22414 Merrick Blvd, Laurelton, NY 11413 Phone: 718-949-6433 | |
Dr. David Scott, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23201 Merrick Blvd, Laurelton, NY 11413 Phone: 718-276-4750 |