Dr Yury Takhalov, MD | |
Stony Brook University Hospital, Dept Of Pathology Hos2, Stony Brook, NY 11794-7025 | |
(631) 444-2224 | |
(631) 444-3424 |
Full Name | Dr Yury Takhalov |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | Stony Brook University Hospital, Stony Brook, 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 |
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1932370731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 255706 (New York) | Primary |
Entity Name | Wyckoff Professional Medical Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659710796 PECOS PAC ID: 6406748607 Enrollment ID: O20040324001805 |
Mailing Address | Practice Location Address |
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Dr Yury Takhalov, MD 840 S. Wood St., Suite 130 Csn, University Of Illinois At Chicago, Chicago, IL 60612 Ph: (312) 996-3879 | Dr Yury Takhalov, MD Stony Brook University Hospital, Dept Of Pathology Hos2, Stony Brook, NY 11794-7025 Ph: (631) 444-2224 |
Maoxin Wu, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: Stony Brook Pathologists Ufpc, Sbumc, Bst L9, Rm 140, Stony Brook, NY 11794 Phone: 631-444-3000 Fax: 631-444-3419 | |
Yupo Ma, MD PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: Stony Brook Medical Ctr, Department Of Pathology, Stony Brook, NY 11794 Phone: 631-444-2241 Fax: 631-444-1566 | |
Dr. Eric U Yee, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-444-3000 | |
Dr. Roberta Seidman, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: University Hospital, Stony Brook, NY 11794 Phone: 631-444-2227 | |
James H Suh, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Stony Brook University Hospital, Dept Of Pathology Hos 2, Stony Brook, NY 11794 Phone: 631-444-2224 Fax: 631-444-3424 | |
Dr. Joel H Saltz, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Bst Level 9 Rm 140, Stony Brook, NY 11794 Phone: 631-444-3424 | |
Dr. Ute Moll, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: University Hospital, Stony Brook, NY 11794 Phone: 631-444-2459 |