Dr Liliana Tique, MD | |
2701 Sunrise Hwy, Islip Terrace, NY 11752-2612 | |
(631) 581-9330 | |
Not Available |
Full Name | Dr Liliana Tique |
---|---|
Gender | Female |
Speciality | Pediatric Medicine |
Experience | 26 Years |
Location | 2701 Sunrise Hwy, Islip Terrace, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053359067 | NPI | - | NPPES |
02379995 | Medicaid | NY | |
7740538 | Other | NY | AETNA |
508Y31 | Other | NY | EMPIRE BC.BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 219602 (New York) | Secondary |
208000000X | Pediatrics | 219602 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stony Brook Children's Service, University Faculty Practice Corporatio | 8921993551 | 40 |
Entity Name | Stony Brook Children's Service, University Faculty Practice Corporatio |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083660575 PECOS PAC ID: 8921993551 Enrollment ID: O20040220000822 |
Entity Name | Suffolk Primary Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174965727 PECOS PAC ID: 9436420510 Enrollment ID: O20170808002088 |
Mailing Address | Practice Location Address |
---|---|
Dr Liliana Tique, MD Po Box 1559, Stony Brook, NY 11790-0989 Ph: () - | Dr Liliana Tique, MD 2701 Sunrise Hwy, Islip Terrace, NY 11752-2612 Ph: (631) 581-9330 |
Dr. Julia I Ordonez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 Sunrise Hwy, Stony Brook Children's Services Ufpc, Islip Terrace, NY 11752 Phone: 631-638-2375 Fax: 631-581-9561 | |
Dr. Lycia Ryder, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 Sunrise Hwy, Islip Terrace, NY 11752 Phone: 631-638-2375 | |
Dr. Rizwana Shams, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2701 Sunrise Hwy, Islip Terrace, NY 11752 Phone: 631-638-2375 | |
Samantha Erin Feld-ansbach, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2701 Sunrise Hwy, Islip Terrace, NY 11752 Phone: 631-638-2375 |