Justin Zack, MD | |
1333 Roanoke Ave, Riverhead, NY 11901 | |
(631) 727-2755 | |
(631) 208-9521 |
Full Name | Justin Zack |
---|---|
Gender | Male |
Speciality | Radiology - Vascular & Interventional Radiology |
Location | 1333 Roanoke Ave, Riverhead, 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 |
---|---|---|---|
1407964695 | NPI | - | NPPES |
02206999 | Medicaid | NY | |
CF3402 | Other | NY | RR MEDICARE |
W11401 | Other | NY | BC/BS |
W22111 | Other | NY | MEDICARE GROUP SHR |
WEU091 | Other | NY | MEDICARE GROUP HR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | 209465 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Justin Zack, MD 1333 Roanoke Ave, Riverhead, NY 11901 Ph: (631) 727-2755 | Justin Zack, MD 1333 Roanoke Ave, Riverhead, NY 11901 Ph: (631) 727-2755 |
Barry Armandi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1333 Roanoke Ave, Riverhead, NY 11901 Phone: 631-727-2755 Fax: 631-208-9521 | |
Dr. Isamettin Aral, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 896 Old Country Rd, Riverhead, NY 11901 Phone: 631-727-5469 | |
David Gross, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1333 Roanoke Ave, Riverhead, NY 11901 Phone: 631-727-2755 Fax: 631-208-9521 | |
David Kirshy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1333 Roanoke Ave, Riverhead, NY 11901 Phone: 631-727-2755 Fax: 631-208-9521 | |
Dr. Renu Hausen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1333 Roanoke Ave, Riverhead, NY 11901 Phone: 631-727-2755 Fax: 631-208-9521 | |
Robert Goodman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1333 Roanoke Ave, Riverhead, NY 11901 Phone: 631-727-2755 Fax: 631-727-2852 | |
Tyana Raynor, D.O. Radiology Medicare: Medicare Enrolled Practice Location: 1300 Roanoke Ave, Riverhead, NY 11901 Phone: 631-548-6446 Fax: 631-727-0772 |