Dr Gospodin Stefanov Stefanov, MD | |
7558 113th St Apt 5b, Forest Hills, NY 11375-7429 | |
(773) 987-1583 | |
Not Available |
Full Name | Dr Gospodin Stefanov Stefanov |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 7558 113th St Apt 5b, Forest Hills, 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 |
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1124254479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 036123542 (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Mailing Address | Practice Location Address |
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Dr Gospodin Stefanov Stefanov, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Dr Gospodin Stefanov Stefanov, MD 7558 113th St Apt 5b, Forest Hills, NY 11375-7429 Ph: (773) 987-1583 |
Maged Z Youssef-ahmed, M.D Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 103-11 68th Drive, Forest Hills, NY 11375 Phone: 347-642-5315 Fax: 347-642-5315 | |
Marie Brignol, Pediatrics Medicare: Medicare Enrolled Practice Location: Nsuh At Forest Hills, 102-01 66th Road, Forest Hills, NY 11375 Phone: 718-830-4214 | |
Vincent Scott Dowling, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11120 Queens Blvd Bsmt Level, Forest Hills, NY 11375 Phone: 718-263-2208 Fax: 718-263-3442 | |
Diane M Gocs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9610 Metropolitan Ave, Forest Hills, NY 11375 Phone: 718-286-3863 Fax: 718-286-3863 | |
Pratibha Kabrawala, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10201 66th Rd, Forest Hills, NY 11375 Phone: 718-830-4214 | |
Brian Elkins Novick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11821 Queens Blvd Ste 601, Forest Hills, NY 11375 Phone: 516-426-8604 Fax: 718-261-2285 |