Dr Miguel L Blanco, MD | |
951 Roanoke Ave, Riverhead, NY 11901-2724 | |
(631) 727-7773 | |
(631) 369-4994 |
Full Name | Dr Miguel L Blanco |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 951 Roanoke Ave, Riverhead, 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 |
---|---|---|---|
1235127861 | NPI | - | NPPES |
01231781 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 180073-1 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Dr Miguel L Blanco, MD 45 Research Way, Suite 204, East Setauket, NY 11733-6401 Ph: (631) 615-8272 | Dr Miguel L Blanco, MD 951 Roanoke Ave, Riverhead, NY 11901-2724 Ph: (631) 727-7773 |
Dr. Rameshchandra Dabhi, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 951 Roanoke Ave, Riverhead, NY 11901 Phone: 631-727-7773 Fax: 631-369-4994 | |
Ricardo Juan Monserrate, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1279 E Main St, Riverhead, NY 11901 Phone: 631-727-2100 Fax: 631-727-2646 | |
Sara Ann Cerrone, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 31 Main Rd Ste 1, Riverhead, NY 11901 Phone: 631-298-4479 | |
Dr. Daniel Colin Massiah, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1025 Roanoke Ave, Riverhead, NY 11901 Phone: 631-727-6717 Fax: 631-953-0204 | |
Dr. Yelda Nouri, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 750 Old Country Road Building 2, Riverhead, NY 11901 Phone: 631-751-3000 Fax: 631-509-6559 | |
Dr. Afzal M Butt, Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 912 Roanoke Ave, Riverhead, NY 11901 Phone: 631-369-8000 | |
Marie-jose Dorval-dorcely, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 300 Center Dr, Riverhead, NY 11901 Phone: 631-852-1800 Fax: 631-852-1807 |