Gautam Sharma, | |
7218 164th St, Fresh Meadows, NY 11365-4222 | |
(718) 969-6640 | |
Not Available |
Full Name | Gautam Sharma |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 7218 164th St, Fresh Meadows, 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 |
---|---|---|---|
1760043970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OT019545 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | 317425 (New York) | Primary |
Entity Name | Lefferts Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700922150 PECOS PAC ID: 6305839150 Enrollment ID: O20070306000757 |
Mailing Address | Practice Location Address |
---|---|
Gautam Sharma, 7218 164th St, Fresh Meadows, NY 11365-4222 Ph: (718) 969-6640 | Gautam Sharma, 7218 164th St, Fresh Meadows, NY 11365-4222 Ph: (718) 969-6640 |
Mergie Desir, M.D. , M. P. H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7580 184th St, Fresh Meadows, NY 11366 Phone: 718-805-1215 Fax: 718-805-1218 | |
Joyce Gertrude Gholson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15905 Union Tpke, Fresh Meadows, NY 11366 Phone: 718-906-6700 Fax: 718-906-6805 | |
Dr. Cindy Celeste Grubin, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15905 Union Tpke, Fresh Meadows, NY 11366 Phone: 718-906-6700 Fax: 718-380-9423 | |
Mina Fawzy Adams, MD. Family Medicine Medicare: Medicare Enrolled Practice Location: 6136 170th St Apt M4, Fresh Meadows, NY 11365 Phone: 347-709-3133 Fax: 516-441-6768 | |
Daniel Azof, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6118 188th St, Fresh Meadows, NY 11365 Phone: 718-489-5003 | |
Justin Anthony Classie, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16303 Horace Harding Expy, 4th Floor, Fresh Meadows, NY 11365 Phone: 866-670-6824 Fax: 718-670-2249 |