Dr Ernst Raeder, MD | |
3001 Expressway Drive North, Islandia, NY 11749 | |
(631) 444-9600 | |
Not Available |
Full Name | Dr Ernst Raeder |
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Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 3001 Expressway Drive North, Islandia, 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 |
---|---|---|---|
1538186002 | NPI | - | NPPES |
96D54 | Other | NY | EMPIRE BC.BS |
0108946 | Medicaid | NY | |
4584863 | Other | NY | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 170127 (New York) | Primary |
Entity Name | Stony Brook Internists University Faculty Practice Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295778371 PECOS PAC ID: 9133019821 Enrollment ID: O20040317000450 |
Mailing Address | Practice Location Address |
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Dr Ernst Raeder, MD P.o. Box 1559, Stony Brook, NY 11790 Ph: (631) 444-9600 | Dr Ernst Raeder, MD 3001 Expressway Drive North, Islandia, NY 11749 Ph: (631) 444-9600 |
Dr. William E Lawson, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Drive North, Islandia, NY 11749 Phone: 631-444-9600 | |
Dipti Devendrakumar Patel, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3001 Expressway Drive North, Ste. 104, Islandia, NY 11749 Phone: 631-435-0110 Fax: 631-435-4583 | |
Dr. Hal Skopicki, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Dr N, Islandia, NY 11749 Phone: 631-444-9600 | |
Dr. Kathleen Stergiopoulos, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Drive North, Islandia, NY 11749 Phone: 631-444-1069 | |
Mr. Howard Novotny, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Drive North, Islandia, NY 11749 Phone: 631-444-9600 | |
Dr. Eric Rashba, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Dr N, Islandia, NY 11749 Phone: 631-444-9600 |