Dr Jason Kronberg, DO | |
270 Union Ave, Holbrook, NY 11741-1823 | |
(631) 588-4442 | |
Not Available |
Full Name | Dr Jason Kronberg |
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Gender | Male |
Speciality | Pediatrics |
Location | 270 Union Ave, Holbrook, 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 |
---|---|---|---|
1265547780 | NPI | - | NPPES |
02256857 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 221679-1 (New York) | Primary |
Entity Name | Optum Medical Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
Mailing Address | Practice Location Address |
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Dr Jason Kronberg, DO 515 High St Apt 3, Port Jefferson, NY 11777-1834 Ph: () - | Dr Jason Kronberg, DO 270 Union Ave, Holbrook, NY 11741-1823 Ph: (631) 588-4442 |
Dr. Yelena Melman, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 Broadway Ave, Suite D, Holbrook, NY 11741 Phone: 631-563-2294 Fax: 631-589-8946 | |
Mrs. Phyllis G Simon-goldman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 270 Union Ave, Holbrook, NY 11741 Phone: 631-331-6200 Fax: 631-331-6282 | |
Dr. Robert S Festa, M.D., LIC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 270 Union Ave, Holbrook, NY 11741 Phone: 631-588-4442 Fax: 631-471-3039 | |
Dr. Michael Nussbaum, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 270 Union Ave, Holbrook, NY 11741 Phone: 631-588-4442 | |
Dr. Foazia Siddiq, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 Broadway Ave, Suite D, Holbrook, NY 11741 Phone: 631-563-2294 Fax: 631-589-8946 | |
Dr. Mitchell Kleinberg, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 270 Union Ave, Holbrook, NY 11741 Phone: 631-558-4442 Fax: 631-471-3039 |