Dr Revanord Pierre-louis, MD | |
15211 89th Ave, Jamaica, NY 11432-3730 | |
(212) 563-2497 | |
(212) 563-0605 |
Full Name | Dr Revanord Pierre-louis |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 15211 89th Ave, Jamaica, 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 |
---|---|---|---|
1053482612 | NPI | - | NPPES |
01541313 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 194861 (New York) | Primary |
Entity Name | Interfaith Professional Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457643991 PECOS PAC ID: 9931378171 Enrollment ID: O20110804000598 |
Entity Name | Kingsbrook Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104112838 PECOS PAC ID: 8729252028 Enrollment ID: O20111123000332 |
Mailing Address | Practice Location Address |
---|---|
Dr Revanord Pierre-louis, MD 158 W 27th St, 11 Fl. South, New York, NY 10001-6216 Ph: (212) 563-2497 | Dr Revanord Pierre-louis, MD 15211 89th Ave, Jamaica, NY 11432-3730 Ph: (212) 563-2497 |
Dr. Chetankumar Patel, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Jamaica, NY 11418 Phone: 718-206-6000 | |
Dr. Elbert Ching, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 917-584-0819 | |
Dr. Maria Teresa Lechuga, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Jamaica, NY 11418 Phone: 718-206-6000 | |
Dr. Sergey Galustyan, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 8900 Van Wyck Expy, Jamaica, NY 11418 Phone: 718-206-6000 | |
Amanda Chan, PA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8268 164th St Ste 1b02, Jamaica, NY 11432 Phone: 718-883-3070 | |
Alfredo Wong, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15211 89th Ave, Rm.#5100, Jamaica, NY 11432 Phone: 212-533-1701 |