Dr Thulasi Cheruvanky, MD | |
350 S Broadway, Hicksville, NY 11801-5006 | |
(516) 938-0100 | |
(516) 938-0120 |
Full Name | Dr Thulasi Cheruvanky |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 350 S Broadway, Hicksville, 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 |
---|---|---|---|
1003854654 | NPI | - | NPPES |
01297438 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 139685 (New York) | Primary |
Entity Name | Advantagecare Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336578772 PECOS PAC ID: 2365735008 Enrollment ID: O20160719000446 |
Mailing Address | Practice Location Address |
---|---|
Dr Thulasi Cheruvanky, MD 55 Water St, 2nd Floor Credentialing, New York, NY 10041-0004 Ph: (646) 680-2888 | Dr Thulasi Cheruvanky, MD 350 S Broadway, Hicksville, NY 11801-5006 Ph: (516) 938-0100 |
Dr. Gail Goodman Kaden, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 S Oyster Bay Rd, Suite 207, Hicksville, NY 11801 Phone: 516-822-1400 Fax: 516-822-5602 | |
Dr. Ilyse Robin Nayor, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 S Oyster Bay Rd, Suite 207, Hicksville, NY 11801 Phone: 516-822-1400 Fax: 516-822-5602 | |
Mrs. Dina K Pahlajani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 West Old Country Rd Suite 102, Hicksville, NY 11801 Phone: 516-935-2555 Fax: 516-935-4249 | |
Susan E Trecartin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 350 S Broadway, Hicksville, NY 11801 Phone: 516-938-0100 Fax: 516-392-0120 | |
Jihee Chae, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 60 Wishing Ln, Hicksville, NY 11801 Phone: 718-517-0813 | |
Dr. Brian Foster Rabinowitz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 S Oyster Bay Rd, Suite 207, Hicksville, NY 11801 Phone: 516-822-1400 Fax: 516-822-5602 |