Gino A Consigliere, MD | |
7 Medical Dr Ste A, Port Jefferson Station, NY 11776-1593 | |
(631) 928-5252 | |
(631) 928-5259 |
Full Name | Gino A Consigliere |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 7 Medical Dr Ste A, Port Jefferson Station, 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 |
---|---|---|---|
1851457477 | NPI | - | NPPES |
CCLI1312 | Other | VYTRA | |
GC0625781 | Other | BLUE CROSS | |
692668 | Other | UNITER HEALTHCARE | |
182279 | Other | NY | AETNA US HEALTH |
AJ45668 | Other | MDNY | |
P44353103 | Other | MULITPLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 109169 (New York) | Primary |
Entity Name | Internal Medicine Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619188489 PECOS PAC ID: 1951291467 Enrollment ID: O20110711000004 |
Mailing Address | Practice Location Address |
---|---|
Gino A Consigliere, MD 7 Medical Dr Ste A, Port Jefferson Station, NY 11776-1593 Ph: (631) 928-5252 | Gino A Consigliere, MD 7 Medical Dr Ste A, Port Jefferson Station, NY 11776-1593 Ph: (631) 928-5252 |
Dr. Cynthia Santiago, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5 Roosevelt Ave, Port Jefferson Station, NY 11776 Phone: 631-732-6984 Fax: 631-732-7019 | |
Dr. Mark A Shapiro, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 B Medical Dr, Port Jefferson Station, NY 11776 Phone: 631-474-1111 Fax: 631-474-4694 | |
Dr. Aziz Chaudry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2b Medical Park Drive, Port Jefferson Station, NY 11776 Phone: 631-928-1414 Fax: 631-928-1830 | |
Dr. Antoun Saba Mitromaras, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 509 Route 112, Port Jefferson Station, NY 11776 Phone: 631-331-1100 |