Dr Kathleen Cervo, MD | |
265 Herrick Rd, Southampton, NY 11968-5045 | |
(631) 726-8350 | |
Not Available |
Full Name | Dr Kathleen Cervo |
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Gender | Female |
Speciality | Anesthesiology |
Location | 265 Herrick Rd, Southampton, 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 |
---|---|---|---|
1104211218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 295943 (New York) | Primary |
Entity Name | Stony Brook Anaesthesiology University Faculty Practice Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801841184 PECOS PAC ID: 3375434970 Enrollment ID: O20040323000959 |
Mailing Address | Practice Location Address |
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Dr Kathleen Cervo, MD 60 Oak St, Smithtown, NY 11787-1027 Ph: (631) 316-2723 | Dr Kathleen Cervo, MD 265 Herrick Rd, Southampton, NY 11968-5045 Ph: (631) 726-8350 |
Mr. Rodolfo D Vaglienty, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 265 Herrick Rd, Southampton, NY 11968 Phone: 631-726-8350 Fax: 631-726-8519 | |
Dr. Jonathan Levitsky, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 265 Herrick Rd, Southampton, NY 11968 Phone: 631-726-8350 Fax: 631-726-8519 | |
Dr. Babak Maharlouei, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 265 Herrick Rd, Southampton, NY 11968 Phone: 631-726-8350 Fax: 631-726-8519 | |
Dr. Scott Silverberg, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 265 Herrick Road, Southampton, NY 11968 Phone: 631-726-8350 Fax: 631-726-8519 | |
Patrick Finn Diamond, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 265 Herrick Rd, Southampton, NY 11968 Phone: 631-726-8350 Fax: 631-726-8519 | |
Dr. Tony S. Hegde, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 265 Herrick Rd, Southampton, NY 11968 Phone: 631-726-8350 Fax: 631-726-8519 |