Dr Jennifer Lynn Favre, MD MPH | |
200 Pantigo Pl Ste E, East Hampton, NY 11937 | |
(718) 780-5260 | |
(718) 780-3266 |
Full Name | Dr Jennifer Lynn Favre |
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Gender | Female |
Speciality | Pediatrics |
Location | 200 Pantigo Pl Ste E, East Hampton, 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 |
---|---|---|---|
1194108977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 294839 (New York) | Primary |
Entity Name | Stony Brook Children's Service, University Faculty Practice Corporatio |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083660575 PECOS PAC ID: 8921993551 Enrollment ID: O20040220000822 |
Mailing Address | Practice Location Address |
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Dr Jennifer Lynn Favre, MD MPH 200 Pantigo Pl Ste E, East Hampton, NY 11937-5925 Ph: (316) 324-8030 | Dr Jennifer Lynn Favre, MD MPH 200 Pantigo Pl Ste E, East Hampton, NY 11937 Ph: (718) 780-5260 |
Dr. Mark Alan Mitchnick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 80 Three Mile Harbor Dr, East Hampton, NY 11937 Phone: 631-329-3255 | |
Dr. David Christopher Lado, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Pantigo Pl, Suite E, East Hampton, NY 11937 Phone: 631-324-8030 | |
Gail Ann Schonfeld, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 200 Pantigo Pl, Ste E, East Hampton, NY 11937 Phone: 631-324-8030 Fax: 631-324-8032 | |
Antony Perry, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Pantigo Place, Suite E, East Hampton, NY 11937 Phone: 631-324-8030 Fax: 631-324-8032 |