Dr Emmanuel B Riconalla, MD | |
60 Prospect Ave, Middletown, NY 10940-4133 | |
(845) 343-6216 | |
Not Available |
Full Name | Dr Emmanuel B Riconalla |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 35 Years |
Location | 60 Prospect Ave, Middletown, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740263797 | NPI | - | NPPES |
02195366 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 217108 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Garnet Health Medical Center | Middletown, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North American Partners In Anesthesia Llp | 7719885771 | 504 |
Entity Name | North American Partners In Anesthesia Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649264706 PECOS PAC ID: 7719885771 Enrollment ID: O20040108000176 |
Mailing Address | Practice Location Address |
---|---|
Dr Emmanuel B Riconalla, MD 3998 Fair Ridge Drive, Suite 320, Fairfax, VA 22033 Ph: (703) 295-9360 | Dr Emmanuel B Riconalla, MD 60 Prospect Ave, Middletown, NY 10940-4133 Ph: (845) 343-6216 |
Dr. Charles Bou, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-1445 | |
Dr. Esaak John Mullaev, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-1000 | |
Dr. Ebubechukwu Oluchi Nwigwe, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-1000 | |
Dr. Michael B Putter, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 707 E. Main St., Middletown, NY 10940 Phone: 854-333-1445 | |
Dr. Syung Soo Kiim, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 60 Prospect Ave, Middletown, NY 10940 Phone: 845-343-6216 | |
Francine A Minor, APRN, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-1000 | |
Dr. Kunjan N. Patel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 226 E. Main St, Middletown, NY 10940 Phone: 845-343-6216 Fax: 845-343-6228 |