Dr Maximo Jose D'oleo, MD | |
24 Groton Ave, Cortland, NY 13045-2014 | |
(607) 753-3774 | |
Not Available |
Full Name | Dr Maximo Jose D'oleo |
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Gender | Male |
Speciality | Pediatrics |
Location | 24 Groton Ave, Cortland, 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 |
---|---|---|---|
1356598973 | NPI | - | NPPES |
03055447 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 274854 (New York) | Primary |
Entity Name | Family Health Network Of Central New York, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043374853 PECOS PAC ID: 2668385014 Enrollment ID: O20031111000423 |
Entity Name | St Joseph's Hospital Yonkers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356316921 PECOS PAC ID: 0547156176 Enrollment ID: O20040223000340 |
Mailing Address | Practice Location Address |
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Dr Maximo Jose D'oleo, MD 85 S West St, Homer, NY 13077-1542 Ph: (607) 753-3797 | Dr Maximo Jose D'oleo, MD 24 Groton Ave, Cortland, NY 13045-2014 Ph: (607) 753-3774 |
Dr. Denise Marie Toshach, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 24 Groton Ave, Cortland, NY 13045 Phone: 607-753-3774 | |
Ahmad Javid, Pediatrics Medicare: Medicare Enrolled Practice Location: 24 Groton Ave, Cortland, NY 13045 Phone: 607-753-3774 Fax: 607-753-3947 | |
Dr. Amy Y Difabio, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 24 Groton Ave, Cortland, NY 13045 Phone: 607-753-3774 | |
Cathy Zarzecki, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4038 West Rd, Cortland, NY 13045 Phone: 607-758-3008 Fax: 607-758-3019 |