Dr Mrudula Premkumar, MD | |
160 N Midland Ave, Nyack, NY 10960-1912 | |
(973) 615-6662 | |
Not Available |
Full Name | Dr Mrudula Premkumar |
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Gender | Female |
Speciality | Pediatrics |
Location | 160 N Midland Ave, Nyack, 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 |
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1225583180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 299538 (New York) | Primary |
Entity Name | Inpatient Medical Associates Of New York Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063717791 PECOS PAC ID: 9537344353 Enrollment ID: O20110421000013 |
Mailing Address | Practice Location Address |
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Dr Mrudula Premkumar, MD 61 Davis Ave Apt Q, White Plains, NY 10605-1009 Ph: (973) 615-6662 | Dr Mrudula Premkumar, MD 160 N Midland Ave, Nyack, NY 10960-1912 Ph: (973) 615-6662 |
Ms. Erica Renee Williams, NURSE PRACTITIONER Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Piermont Ave Apt 3g, Nyack, NY 10960 Phone: 914-409-6259 | |
Mrs. Raluca Ioana Dobre, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 160 N Midland Ave, Nyack Hospital, Nyack, NY 10960 Phone: 845-348-2724 | |
Ms. Roshnie Samlal, SPECIAL ED. TEACHER Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21 Burd St, Nyack, NY 10960 Phone: 845-353-2350 | |
Lorie E Greenberg, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 160 N Midland Ave, Nyack Hospital, Nyack, NY 10960 Phone: 845-348-2000 | |
Maureen Cooney, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 311 N Midland Ave, Nyack, NY 10960 Phone: 845-358-5437 Fax: 845-512-8440 | |
Mirjana Nesin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 104 Gedney St, Nyack, NY 10960 Phone: 845-376-2481 Fax: 845-376-2381 |