Dr Luisa Fernanda Lorena Edith Gonzalez Ballesteros, MD | |
130 E 77th St, Department Of Pediatrics, Lenox Hill Hospital, New York, NY 10075-1851 | |
(212) 434-2135 | |
(212) 434-3374 |
Full Name | Dr Luisa Fernanda Lorena Edith Gonzalez Ballesteros |
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Gender | Female |
Speciality | Pediatrics |
Location | 130 E 77th St, New York, 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 |
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1033367016 | NPI | - | NPPES |
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 |
Entity Name | Physician Affiliate Group Of New York Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013375526 PECOS PAC ID: 4688098833 Enrollment ID: O20200721001270 |
Mailing Address | Practice Location Address |
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Dr Luisa Fernanda Lorena Edith Gonzalez Ballesteros, MD 130 E 77th St, Department Of Pediatrics, New York, NY 10075-1851 Ph: (212) 434-2135 | Dr Luisa Fernanda Lorena Edith Gonzalez Ballesteros, MD 130 E 77th St, Department Of Pediatrics, Lenox Hill Hospital, New York, NY 10075-1851 Ph: (212) 434-2135 |
Dr. Robert Michael Lembo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 462 1st Ave, New York, NY 10016 Phone: 212-263-6425 | |
Dr. Sean Michael Bailey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 1st Ave, Suite 7a, New York, NY 10016 Phone: 212-263-7477 | |
Dr. Diana Trevas Fleisher, Pediatrics Medicare: Medicare Enrolled Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-3293 Fax: 212-263-3522 | |
Dr. Rajdeep K Saini, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Warren St, New York, NY 10007 Phone: 212-226-7666 Fax: 212-202-7988 | |
Dr. Nooralam Ahmad Rai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3959 Broadway # Chc701, New York, NY 10032 Phone: 212-305-5122 Fax: 212-305-6103 | |
Deborah Valentine Shamsian, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 21 W 86th St, New York, NY 10024 Phone: 212-304-5800 | |
Kara Alex-ann Beliard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1468 Madison Ave, New York, NY 10029 Phone: 122-241-6936 |