Herold Joseph, | |
211 Lake Shore Rd, Lake Ronkonkoma, NY 11779 | |
(631) 585-8800 | |
Not Available |
Full Name | Herold Joseph |
---|---|
Gender | Male |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 211 Lake Shore Rd, Lake Ronkonkoma, 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 |
---|---|---|---|
1225858715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 60-P130603-02 (New York) | Primary |
Entity Name | Peyman Younesi Md Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891053328 PECOS PAC ID: 4981860202 Enrollment ID: O20120731000499 |
Entity Name | My Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518637891 PECOS PAC ID: 0143610600 Enrollment ID: O20211124001353 |
Mailing Address | Practice Location Address |
---|---|
Herold Joseph, 21840 113th Ave, Apt 2, Queens Village, NY 11429 Ph: (646) 972-2745 | Herold Joseph, 211 Lake Shore Rd, Lake Ronkonkoma, NY 11779 Ph: (631) 585-8800 |
Tara K Singh, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-471-1117 | |
Michael Lee, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-417-1117 | |
Ms. Diana Kaplinsky, D.O. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-471-1117 | |
Marie T Pottanat, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-417-1117 | |
Joseph M Chandrankunnel, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-417-1117 | |
Anang Modi, DO Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-417-1117 |