Evan Weissman, DO | |
4 Medical Park Dr, 4c, Pomona, NY 10970-3516 | |
(845) 362-0202 | |
(845) 362-1347 |
Full Name | Evan Weissman |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 4 Medical Park Dr, Pomona, 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 |
---|---|---|---|
1033209804 | NPI | - | NPPES |
2089054 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | BW6237653 (New York) | Primary |
Entity Name | Boston Children's Health Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 |
Mailing Address | Practice Location Address |
---|---|
Evan Weissman, DO 4 Medical Park Dr, 4c, Pomona, NY 10970-3516 Ph: (845) 362-0202 | Evan Weissman, DO 4 Medical Park Dr, 4c, Pomona, NY 10970-3516 Ph: (845) 362-0202 |
Carlos G. Lobo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27 S Camphill Road, Pomona, NY 10970 Phone: 845-362-1557 | |
Dr. Suresh Bekal, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 50 Sanitorium Rd, Building D, Pomona, NY 10970 Phone: 845-364-2512 Fax: 845-364-2628 | |
Gerald Vogel, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4 Medical Park Dr, Suite C, Pomona, NY 10970 Phone: 845-362-0202 Fax: 845-362-1347 | |
Lorna Sackler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Medical Park Dr, Suitec, Pomona, NY 10970 Phone: 845-362-0202 Fax: 845-362-1347 | |
Andrew L. Satran, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 358 Route 202, Suite 2, Pomona, NY 10970 Phone: 718-362-1411 Fax: 718-414-1651 | |
Jesse Hackell, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4 Medical Park Dr, Suite C, Pomona, NY 10970 Phone: 845-362-0202 Fax: 845-362-1347 |