Dr Marie Azzu Peloso, MD | |
165 N Village Ave, Suite 215, Rockville Centre, NY 11570-3761 | |
(516) 536-7200 | |
(516) 536-7208 |
Full Name | Dr Marie Azzu Peloso |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 165 N Village Ave, Rockville Centre, 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 |
---|---|---|---|
1841290285 | NPI | - | NPPES |
01836819 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 188138 (New York) | Primary |
Entity Name | Optum Medical Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
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 Marie Azzu Peloso, MD 165 N Village Ave, Suite 215, Rockville Centre, NY 11570-3761 Ph: (516) 536-7200 | Dr Marie Azzu Peloso, MD 165 N Village Ave, Suite 215, Rockville Centre, NY 11570-3761 Ph: (516) 536-7200 |
Constance F Stewart, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 515 Hempstead Ave, Rockville Centre, NY 11570 Phone: 516-766-2199 Fax: 516-764-0032 | |
Susan W Mccarthy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Merrick Rd Ste 102e, Rockville Centre, NY 11570 Phone: 516-277-2060 Fax: 516-277-2058 | |
Dr. Lindsay Ann He, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 350 Sunrise Hwy, Rockville Centre, NY 11570 Phone: 516-763-4764 | |
Dr. Lincy Ann Cherian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 N Village Ave, Rockville Centre, NY 11570 Phone: 516-705-2873 | |
Dr. Jordana Cele Hannam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 N Village Ave, Rockville Centre, NY 11570 Phone: 516-705-3326 | |
Lisa Anne Forgione, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 165 N Village Ave, Suite 215, Rockville Centre, NY 11570 Phone: 516-536-7200 Fax: 516-536-7208 | |
Dr. Stephen Shear, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Hempstead Ave, Suite 248, Rockville Centre, NY 11570 Phone: 516-536-3232 Fax: 516-536-5626 |