Ginny Olazabal Leva, MD | |
320 Laurel Road, Northport, NY 11768 | |
(631) 261-0158 | |
(631) 261-0296 |
Full Name | Ginny Olazabal Leva |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 320 Laurel Road, Northport, 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 |
---|---|---|---|
1386680478 | NPI | - | NPPES |
173243 | Other | NY | HIP |
2111440 | Other | NY | AETNA HMO |
54N552 | Other | NY | EMPIRE BC BS OF NY |
01068515 | Medicaid | NY | |
54N551 | Other | NY | EMPIRE BC BS OF NY |
3C0048 | Other | NY | HEALTHNET |
4109440 | Other | NY | AETNA PPO |
P1131540 | Other | NY | OXFORD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 173243 (New York) | Primary |
Entity Name | Doctors Of Northport Primary Medical Care, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144390766 PECOS PAC ID: 7012013022 Enrollment ID: O20070509000030 |
Mailing Address | Practice Location Address |
---|---|
Ginny Olazabal Leva, MD Po Box 1501, Commack, NY 11725 Ph: (631) 261-0158 | Ginny Olazabal Leva, MD 320 Laurel Road, Northport, NY 11768 Ph: (631) 261-0158 |
Dr. Basem Sadek Elfaham, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9 Woodfield Ave, Northport, NY 11768 Phone: 631-553-6855 | |
Troy Everett Dixon, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 Fax: 631-544-5315 | |
Dr. Gerald Vincent Cruise, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Enrique Pastoriza-munoz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 79 Middleville Road, Va Medical Center - 111r, Northport, NY 11768 Phone: 631-261-4400 Fax: 631-544-5315 | |
Dr. Audun Joachim Lier, M.D., M.P.H. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 79 Middleville Rd Rm 111, Northport, NY 11768 Phone: 631-261-4400 | |
Andres Lopez, Internal Medicine Medicare: Medicare Enrolled Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Athena Zias Dilena, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 |