Kenny Derkang Lee, MD | |
2000 N Village Ave Ste 201, Rockville Centre, NY 11570-1001 | |
(516) 900-7922 | |
Not Available |
Full Name | Kenny Derkang Lee |
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Gender | Male |
Speciality | Surgery - Surgical Critical Care |
Location | 2000 N Village Ave Ste 201, Rockville Centre, 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 |
---|---|---|---|
1962864033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | 318696 (New York) | Primary |
Entity Name | Long Island Surgical Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588039119 PECOS PAC ID: 8628305786 Enrollment ID: O20190812003350 |
Entity Name | Acute Care Medical Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205597473 PECOS PAC ID: 8820477250 Enrollment ID: O20220615001639 |
Mailing Address | Practice Location Address |
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Kenny Derkang Lee, MD 2000 N Village Ave Ste 201, Rockville Centre, NY 11570-1001 Ph: (516) 900-7922 | Kenny Derkang Lee, MD 2000 N Village Ave Ste 201, Rockville Centre, NY 11570-1001 Ph: (516) 900-7922 |
Dr. Dana O. Monaco, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 N Village Ave, Suite 209, Rockville Centre, NY 11570 Phone: 516-766-8600 Fax: 516-766-8858 | |
Jonathan Victor Goldstein, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 77 N Centre Ave, Suite 306, Rockville Centre, NY 11570 Phone: 516-264-5900 Fax: 516-594-9728 | |
Rashid Ayyub, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 N. Village Avenue, Rockville Centre, NY 11571 Phone: 516-705-1818 | |
Daniel Haller, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 N Village Ave Ste 211, Rockville Centre, NY 11570 Phone: 516-900-7922 Fax: 718-425-8911 | |
Dr. Omar Wain, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 N Village Ave Ste 211, Rockville Centre, NY 11570 Phone: 516-900-7922 Fax: 718-425-8911 | |
Joel Benowitz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 N Village Ave, Rockville Centre, NY 11570 Phone: 516-889-9100 Fax: 516-889-9108 | |
Dr. Robert Alan Cooper, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 N Centre Ave, Ste 306, Rockville Centre, NY 11570 Phone: 516-766-3730 Fax: 516-678-3620 |