Dr Patricia Edmondson, | |
4500 Parsons Blvd., Acc, Flushing, NY 11355 | |
(718) 670-5486 | |
Not Available |
Full Name | Dr Patricia Edmondson |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Pulmonology |
Location | 4500 Parsons Blvd., Flushing, 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 |
---|---|---|---|
1588770481 | NPI | - | NPPES |
01446368 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0214X | Pediatrics - Pediatric Pulmonology | 178526 (New York) | Primary |
Entity Name | Tjh Medical Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184670465 PECOS PAC ID: 8527960533 Enrollment ID: O20040121000802 |
Entity Name | Flushing Hospital & Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548217763 PECOS PAC ID: 2668367483 Enrollment ID: O20040219000415 |
Entity Name | Jamaica Hospital |
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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 Patricia Edmondson, 80 Marcus Drive, Provider Enrollment, Melville, NY 11747 Ph: (631) 391-7889 | Dr Patricia Edmondson, 4500 Parsons Blvd., Acc, Flushing, NY 11355 Ph: (718) 670-5486 |
Alicia Marie Mcbride, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5645 Main St Fl 1, Flushing, NY 11355 Phone: 718-670-1800 | |
David Ko, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13743 45th Ave, Flushing, NY 11355 Phone: 929-362-3006 Fax: 929-362-3026 | |
Efthemia Nicolopoulos, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1800 Fax: 516-437-4167 | |
Lori R Hoch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14149 70th Rd, Flushing, NY 11367 Phone: 718-268-5282 | |
Kathleen Phung, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13743 45th Ave, Flushing, NY 11355 Phone: 929-362-3006 Fax: 929-362-3026 | |
Dr. Alan Davis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1033 | |
Pinchi Sundaram Srinivasan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1800 |