Dr Justin Michael Petrocelli, MD | |
1615 Northern Blvd Ste 106, Manhasset, NY 11030-3033 | |
(516) 365-2500 | |
Not Available |
Full Name | Dr Justin Michael Petrocelli |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 15 Years |
Location | 1615 Northern Blvd Ste 106, Manhasset, 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 |
---|---|---|---|
1154558856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Shore University Hospital | Manhasset, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Square Care Medical Group Llp | 7012938434 | 56 |
Entity Name | Square Care Medical Group Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457392763 PECOS PAC ID: 7012938434 Enrollment ID: O20051220000236 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Michael Petrocelli, MD 900 Merchants Concourse Ste 216, Westbury, NY 11590-5114 Ph: (516) 226-8373 | Dr Justin Michael Petrocelli, MD 1615 Northern Blvd Ste 106, Manhasset, NY 11030-3033 Ph: (516) 365-2500 |
Theresa Mary Conway, PA Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-662-5100 | |
Antoinette Sakaris, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, North Shore University Hospital, Manhasset, NY 11030 Phone: 516-562-4438 Fax: 516-562-2805 | |
Dr. Eskandar Simhaee, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1201 Northern Blvd, Suite 300, Manhasset, NY 11030 Phone: 516-365-6167 Fax: 516-365-6308 | |
Ms. Melissa Ann Phipps, M.D Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1554 Northern Blvd, Suite 5, Manhasset, NY 11030 Phone: 516-390-9242 | |
Alexandra Rose Peyser, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-2229 | |
Dr. Jordan G Pritzker, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1554 Northern Blvd, Manhasset, NY 11030 Phone: 516-390-9242 Fax: 516-390-9251 |