Dr Steven Bourla, MD | |
789 Old Country Rd, Plainview, NY 11803-4907 | |
(516) 433-3600 | |
(516) 433-9490 |
Full Name | Dr Steven Bourla |
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Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 789 Old Country Rd, Plainview, 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 |
---|---|---|---|
1649216367 | NPI | - | NPPES |
00887036 | Medicaid | NY | |
AS530 | Other | NY | OXFORD |
1C4996 | Other | NY | HEALTHNET |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 128336 (New York) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 128336 (New York) | Primary |
Entity Name | Prohealth Care Associates Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
Mailing Address | Practice Location Address |
---|---|
Dr Steven Bourla, MD 4277 Hempstead Tpke, Suite 209, Bethpage, NY 11714-5709 Ph: (516) 731-7770 | Dr Steven Bourla, MD 789 Old Country Rd, Plainview, NY 11803-4907 Ph: (516) 433-3600 |
Dr. Ki Won Seo, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 54 Central Park Rd, Plainview, NY 11803 Phone: 718-670-2000 | |
Dr. Melanie Maquine, D.O. Nephrology Medicare: Medicare Enrolled Practice Location: 875 Old Country Rd, Suite 102, Plainview, NY 11803 Phone: 516-605-2900 Fax: 516-935-8826 | |
Dr. Ailia Rizvi, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 888 Old Country Rd, Plainview, NY 11803 Phone: 516-719-3086 | |
Dr. Prem C Chatpar, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 524 Old Country Road, Plainview, NY 11803 Phone: 516-931-3988 Fax: 516-931-4091 | |
Dr. Haim Brandspiegel, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 789 Old Country Rd, Plainview, NY 11803 Phone: 516-433-3600 Fax: 516-433-9490 | |
Dr. Ron E Kastner, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 789 Old Country Rd, Plainview, NY 11803 Phone: 516-433-3600 Fax: 516-433-9490 | |
Irene Eve Lainiotis, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 522 Old Country Rd, Plainview, NY 11803 Phone: 516-938-1414 Fax: 516-938-6549 |