Edward Fruitman, MD | |
1451 Broadway, Hewlett, NY 11557-1426 | |
(516) 295-4867 | |
Not Available |
Full Name | Edward Fruitman |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1451 Broadway, Hewlett, 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 |
---|---|---|---|
1558434134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 191097-1 (New York) | Primary |
Entity Name | Rjzm Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982627113 PECOS PAC ID: 4486567450 Enrollment ID: O20031106000683 |
Entity Name | Suffolk Primary Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174965727 PECOS PAC ID: 9436420510 Enrollment ID: O20170808002088 |
Mailing Address | Practice Location Address |
---|---|
Edward Fruitman, MD 1451 Broadway, Hewlett, NY 11557-1426 Ph: (516) 295-4867 | Edward Fruitman, MD 1451 Broadway, Hewlett, NY 11557-1426 Ph: (516) 295-4867 |
Mr. Michael A Consiglio, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 145 E Rockaway Rd, Hewlett, NY 11557 Phone: 516-792-0005 Fax: 516-792-0006 | |
Oksana Cohen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 19 Steven Dr, Hewlett, NY 11557 Phone: 516-569-2183 | |
Renata Sanders, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1229 Broadway, Hewlett, NY 11557 Phone: 917-355-0312 | |
Andrew Singer, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 15 Ives Rd, Hewlett, NY 11557 Phone: 516-295-9088 | |
Leonid Khalatov, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1453 Broadway, Hewlett, NY 11557 Phone: 516-792-0800 | |
Dr. Natalya Ogievetsky, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1229 Broadway, Ste 106, Hewlett, NY 11557 Phone: 516-612-3838 Fax: 516-612-3833 | |
Dr. Monique Rousseau, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1728 Broadway Ste 1, Hewlett, NY 11557 Phone: 516-596-9088 |