Dr Josiah Petersen, MD | |
1 Healthy Way, Oceanside, NY 11572-1551 | |
(516) 632-3000 | |
Not Available |
Full Name | Dr Josiah Petersen |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1 Healthy Way, Oceanside, 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 |
---|---|---|---|
1376938902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ML 60561474 (Washington) | Secondary |
208000000X | Pediatrics | 294319 (New York) | Primary |
Entity Name | Mount Sinai School Of Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508127531 PECOS PAC ID: 6406096544 Enrollment ID: O20130712000368 |
Mailing Address | Practice Location Address |
---|---|
Dr Josiah Petersen, MD 1 Healthy Way, Oceanside, NY 11572-1551 Ph: () - | Dr Josiah Petersen, MD 1 Healthy Way, Oceanside, NY 11572-1551 Ph: (516) 632-3000 |
Lauren Shinder, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3227 Long Beach Rd, Suite1, Oceanside, NY 11572 Phone: 516-897-5000 Fax: 516-431-7519 | |
Twana M Jackson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Healthy Way, Oceanside, NY 11572 Phone: 917-744-2403 | |
Julio Valdivieso, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Healthy Way, Oceanside, NY 11572 Phone: 516-632-3000 | |
Rina Jaffe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3227 Long Beach Rd, Suite 1, Oceanside, NY 11572 Phone: 516-897-5000 Fax: 516-431-7519 | |
Dr. Hershel Herbert Glatt, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3051 Long Beach Rd, Suite#1, Oceanside, NY 11572 Phone: 516-536-2000 Fax: 516-764-0257 | |
Christina Dagrosa, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Healthy Way, Oceanside, NY 11572 Phone: 516-632-3000 |