Dr Kolathu A Mathew, MD | |
720 Montauk Hwy, West Islip, NY 11795-4411 | |
(631) 669-2900 | |
(631) 669-2547 |
Full Name | Dr Kolathu A Mathew |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 720 Montauk Hwy, West Islip, 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 |
---|---|---|---|
1083744171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 111422 (New York) | Primary |
Entity Name | Prohealth Care Associates Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
Mailing Address | Practice Location Address |
---|---|
Dr Kolathu A Mathew, MD 720 Montauk Hwy, West Islip, NY 11795-4411 Ph: (631) 669-2900 | Dr Kolathu A Mathew, MD 720 Montauk Hwy, West Islip, NY 11795-4411 Ph: (631) 669-2900 |
Desiree Lariosa Catalan, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-4163 | |
Dr. Branda Shrivastava, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-4161 | |
Dr. Eldose Cherian George, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 720 Montauk Hwy, West Islip, NY 11795 Phone: 631-669-2900 | |
Dr. Mary J Bilder, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 239 Higbie Ln, West Islip, NY 11795 Phone: 631-376-6000 Fax: 631-376-6031 | |
Timothy George, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 239 Higbie Ln, West Islip, NY 11795 Phone: 631-376-6000 Fax: 631-376-6031 | |
Reethamma Daniel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 |