Leonard T Pastula Ii, DO | |
200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | |
(631) 474-6000 | |
Not Available |
Full Name | Leonard T Pastula Ii |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 200 Belle Terre Rd, Port Jefferson, 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 |
---|---|---|---|
1093774978 | NPI | - | NPPES |
02199668 | Medicaid | NY | |
1652Q1 | Other | NY | BLUECROSS BLUESHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 215143 (New York) | Primary |
Entity Name | Siena Emergency Medical Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356507099 PECOS PAC ID: 9830257625 Enrollment ID: O20081023000132 |
Entity Name | City Medical Of Upper East Side Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801277629 PECOS PAC ID: 0648465039 Enrollment ID: O20101111000052 |
Mailing Address | Practice Location Address |
---|---|
Leonard T Pastula Ii, DO 4 Carlisle Dr, Glen Head, NY 11545-2120 Ph: (917) 885-2706 | Leonard T Pastula Ii, DO 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 Ph: (631) 474-6000 |
Anthony Brian Kwan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6791 | |
Philip I. Hubel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000 | |
Dr. Kevin Pereira, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 | |
Deborah A Winslow, N.P. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000 | |
Bradley Spangher, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-584-5261 | |
Mamachen Cherian, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000 |