Dr Kenneth Roistacher, MD | |
327 Beach 19th St, Far Rockaway, NY 11691-4423 | |
(718) 869-7672 | |
(718) 869-8530 |
Full Name | Dr Kenneth Roistacher |
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Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
Location | 327 Beach 19th St, Far Rockaway, 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 |
---|---|---|---|
1891866604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 149111 (New York) | Primary |
Entity Name | St John's Medical Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023042173 PECOS PAC ID: 1850314865 Enrollment ID: O20060105000203 |
Mailing Address | Practice Location Address |
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Dr Kenneth Roistacher, MD 327 Beach 19th St, Far Rockaway, NY 11691-4423 Ph: (718) 869-7672 | Dr Kenneth Roistacher, MD 327 Beach 19th St, Far Rockaway, NY 11691-4423 Ph: (718) 869-7672 |
Daniel Buff, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 327 Beach 19th Street, Far Rockaway, NY 11691 Phone: 718-869-7672 | |
Alec Nemchenko, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 327 Beach 19th St, Far Rockaway, NY 11691 Phone: 347-656-2612 | |
Dr. Albert Baravarian, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 529 Beach 20th St, Far Rockaway, NY 11691 Phone: 718-327-7307 Fax: 718-327-3294 | |
Mohammad Rao, Infectious Disease Medicare: Medicare Enrolled Practice Location: 327 Beach 19th St, Far Rockaway, NY 11691 Phone: 718-869-7672 | |
Tahmida Mahjabeen, Infectious Disease Medicare: Medicare Enrolled Practice Location: 327 Beach 19th St, Far Rockaway, NY 11691 Phone: 718-869-7107 | |
Israel Brafman, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 1159 Beach 9th Street, Far Rockaway, NY 11691 Phone: 718-471-2455 | |
Christopher Emovon, Infectious Disease Medicare: Medicare Enrolled Practice Location: 529 Beach 20th St, Far Rockaway, NY 11691 Phone: 718-327-7307 |