Dr Mary Elizabeth Bonafede, MD | |
239 Higbie Ln, West Islip, NY 11795-2825 | |
(631) 376-3000 | |
Not Available |
Full Name | Dr Mary Elizabeth Bonafede |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Infectious Diseases |
Location | 239 Higbie Ln, 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 |
---|---|---|---|
1376627661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0208X | Pediatrics - Pediatric Infectious Diseases | 208119 (New York) | Primary |
Entity Name | Optum Medical Care Pc |
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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 |
Entity Name | Optum Urgent Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285975797 PECOS PAC ID: 8628299518 Enrollment ID: O20141017000598 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary Elizabeth Bonafede, MD 92 S Montgomery Ave, Bay Shore, NY 11706-8808 Ph: (631) 969-3865 | Dr Mary Elizabeth Bonafede, MD 239 Higbie Ln, West Islip, NY 11795-2825 Ph: (631) 376-3000 |
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. Kolathu A Mathew, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 720 Montauk Hwy, West Islip, NY 11795 Phone: 631-669-2900 Fax: 631-669-2547 | |
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 |