Dr Phillip Pan, MD | |
2210 Troy Rd, Niskayuna, NY 12309-4725 | |
(518) 346-9535 | |
Not Available |
Full Name | Dr Phillip Pan |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 2210 Troy Rd, Niskayuna, 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 |
---|---|---|---|
1972525202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 233754 (New York) | Primary |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
Entity Name | St Peters Hospital Of The City Of Albany |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518042357 PECOS PAC ID: 2668460072 Enrollment ID: O20040504001301 |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
Mailing Address | Practice Location Address |
---|---|
Dr Phillip Pan, MD 2210 Troy Rd, Niskayuna, NY 12309-4725 Ph: () - | Dr Phillip Pan, MD 2210 Troy Rd, Niskayuna, NY 12309-4725 Ph: (518) 346-9535 |
Dr. Carolyn Robbins Levine, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2210 Troy Rd, Niskayuna, NY 12309 Phone: 518-346-9498 Fax: 518-347-3314 | |
Dr. Maria D Fort, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2210 Troy Rd, Niskayuna, NY 12309 Phone: 518-346-9499 | |
Nargis J Minhas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2123 River Road, Niskayuna, NY 12309 Phone: 518-428-8708 |