Jevon Fragoso, MD | |
300 Community Dr, Manhasset, NY 11030-3816 | |
(516) 562-0100 | |
Not Available |
Full Name | Jevon Fragoso |
---|---|
Gender | Male |
Speciality | Internal Medicine - Rheumatology |
Location | 300 Community Dr, Manhasset, 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 |
---|---|---|---|
1700345634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RR0500X | Internal Medicine - Rheumatology | 317497 (New York) | Primary |
Entity Name | Tjh Medical Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184670465 PECOS PAC ID: 8527960533 Enrollment ID: O20040121000802 |
Entity Name | Flushing Hospital & Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548217763 PECOS PAC ID: 2668367483 Enrollment ID: O20040219000415 |
Entity Name | Jamaica Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477505220 PECOS PAC ID: 2264324334 Enrollment ID: O20040427001519 |
Mailing Address | Practice Location Address |
---|---|
Jevon Fragoso, MD 300 Community Dr, Manhasset, NY 11030-3816 Ph: (516) 562-0100 | Jevon Fragoso, MD 300 Community Dr, Manhasset, NY 11030-3816 Ph: (516) 562-0100 |
Samit Shah, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-1427 | |
William J Berger, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1201 Northern Blvd Ste 201, Manhasset, NY 11030 Phone: 516-488-4428 Fax: 516-328-2723 | |
Lawrence Ong, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: Nsuh Dept Of Medicine Cardiology, 300 Community Drive, Manhasset, NY 11030 Phone: 516-562-4103 | |
Dr. Malcolm E Levine, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 1201 Northern Blvd, Manhasset, NY 11030 Phone: 516-627-1221 Fax: 516-627-6857 | |
Dr. Angela C Kim, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-4280 Fax: 516-975-4994 | |
Jose Antonio Hernandez Roman, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 300 Community Drive, Manhasset, Manhasset, NY 11030 Phone: 516-562-0100 Fax: 516-562-3555 | |
Dr. Roseann M Russo, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1165 Northern Blvd, Suite 300, Manhasset, NY 11030 Phone: 516-608-6820 Fax: 516-608-6821 |