Dr Mariya A Odnopozova, | |
157-02 Crossbay Blvd., Medisys Family Care Center-howard Beach, Howard Beach, NY 11414 | |
(718) 323-3591 | |
Not Available |
Full Name | Dr Mariya A Odnopozova |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 157-02 Crossbay Blvd., Howard Beach, 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 |
---|---|---|---|
1104933787 | NPI | - | NPPES |
02196216 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 221688 (New York) | Primary |
Entity Name | Jamaica Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477505220 PECOS PAC ID: 2264324334 Enrollment ID: O20040427001519 |
Mailing Address | Practice Location Address |
---|---|
Dr Mariya A Odnopozova, 80 Marcus Dr, Provider Enrollment, Melville, NY 11747-4230 Ph: (631) 391-7887 | Dr Mariya A Odnopozova, 157-02 Crossbay Blvd., Medisys Family Care Center-howard Beach, Howard Beach, NY 11414 Ph: (718) 323-3591 |
Konstantoinos Petinos, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15849 84th St, Howard Beach, NY 11414 Phone: 718-322-7425 Fax: 718-322-5541 | |
Laura Prendergast, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 158-89 84th St, Howard Beach, NY 11414 Phone: 718-322-7425 Fax: 718-323-5541 | |
Allen M Rothenberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 158 49 84th Street, Howard Beach, NY 11414 Phone: 718-322-7425 Fax: 718-323-5541 | |
Mr. Thomas Shim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15849 84th Street, Howard Beach, NY 11414 Phone: 718-322-7425 Fax: 718-323-5541 | |
Maria Aloe, Pediatrics Medicare: Medicare Enrolled Practice Location: 15849 84th St, Howard Beach, NY 11414 Phone: 718-322-3463 | |
Dr. Gilda Guzman Neuhaus, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 16042 85th St, Howard Beach, NY 11414 Phone: 718-845-4145 Fax: 718-738-9482 |