Jin Guo, | |
1500 Route 112 Ste 101, Port Jefferson Station, NY 11776-8054 | |
(631) 751-3000 | |
(631) 751-0506 |
Full Name | Jin Guo |
---|---|
Gender | Female |
Speciality | Internal Medicine - Hematology & Oncology |
Location | 1500 Route 112 Ste 101, 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 |
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1598296477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RH0003X | Internal Medicine - Hematology & Oncology | 322378 (New York) | Primary |
Entity Name | North Shore Hematology Oncology Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396794574 PECOS PAC ID: 1456243641 Enrollment ID: O20040324001766 |
Mailing Address | Practice Location Address |
---|---|
Jin Guo, 1 Research Rd, Ridge, NY 11961-2701 Ph: (631) 751-3000 | Jin Guo, 1500 Route 112 Ste 101, Port Jefferson Station, NY 11776-8054 Ph: (631) 751-3000 |
Dr. Michael W Mendelson, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 5360 Nesconset Hghy, Suite B, Port Jefferson Station, NY 11776 Phone: 631-331-3200 Fax: 631-331-3694 | |
Matias M Dcosta, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 931 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-331-7200 Fax: 631-331-8636 | |
Dr. Iryna Ilyasova, M.D Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112 Ste A, Port Jefferson Station, NY 11776 Phone: 631-686-1414 | |
Kinjal Amit Gosalia, STUDENT Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 5316 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-758-7003 Fax: 631-751-0506 | |
Zarlasht Khan, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112, Port Jefferson Station, NY 11776 Phone: 631-743-6840 | |
Anil Sangwan, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 116 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-928-2002 Fax: 631-473-4427 | |
Anish Desai, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112 Ste B, Port Jefferson Station, NY 11776 Phone: 631-978-7633 Fax: 631-621-4119 |