Lidia B Koulova, MD | |
70 Hatfield Ln, Suite 101, Goshen, NY 10924-6734 | |
(845) 294-8888 | |
(845) 294-1669 |
Full Name | Lidia B Koulova |
---|---|
Gender | Female |
Speciality | Hematology |
Experience | 45 Years |
Location | 70 Hatfield Ln, Goshen, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467431999 | NPI | - | NPPES |
02638984 | Medicaid | NY | |
P00244709 | Other | NY | RAILROAD MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 234815 (New York) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | 234815 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Garnet Health Medical Center | Middletown, NY | Hospital |
St Anthony Community Hospital | Warwick, NY | Hospital |
Bon Secours Community Hospital | Port jervis, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bon Secours Charity Health System Medical Group, P.c. | 1658262084 | 148 |
Entity Name | Bon Secours Charity Health System Medical Group, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487694345 PECOS PAC ID: 1658262084 Enrollment ID: O20040323001971 |
Mailing Address | Practice Location Address |
---|---|
Lidia B Koulova, MD 20 Grand St, 3rd Fl, Warwick, NY 10990-1035 Ph: (845) 294-8888 | Lidia B Koulova, MD 70 Hatfield Ln, Suite 101, Goshen, NY 10924-6734 Ph: (845) 294-8888 |
Sergio Henry Obligado, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 30 Hatfield Ln, Suite 208, Goshen, NY 10924 Phone: 845-294-0994 Fax: 845-615-1376 | |
Dr. Inderpal Singh, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 5 Coats Drive, Goshen, NY 10924 Phone: 845-294-1234 Fax: 914-593-7881 | |
Salvatore J Devincenzo, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 70 Hatfield Ln, Suite 101, Goshen, NY 10924 Phone: 845-294-8888 Fax: 845-294-1669 | |
Dr. Emily Linzer Gordon, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 70 Hatfield Ln Ste 101, Goshen, NY 10924 Phone: 845-294-8888 Fax: 845-294-1699 | |
Rachel Colvin, DO Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 30 Hatfield Ln, Suite 208, Goshen, NY 10924 Phone: 845-294-0994 Fax: 845-615-1376 | |
Lance M Siegel, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 70 Hatfield Ln, Ste 204, Goshen, NY 10924 Phone: 845-291-1260 Fax: 845-294-2312 | |
Robert Alan Johnson, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 70 Hatfield Ln Ste 101, Goshen, NY 10924 Phone: 845-294-8888 Fax: 845-291-7054 |