Marion B Rose, MD | |
500 W Main St, Suite 204, Babylon, NY 11702-3027 | |
(631) 539-5400 | |
(631) 539-5401 |
Full Name | Marion B Rose |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 500 W Main St, Babylon, 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 |
---|---|---|---|
1033114202 | NPI | - | NPPES |
02372058 | Medicaid | NY | |
040426011188 | Other | NY | FIDELIS |
25-01913 | Other | NY | UNITEDHEALTHCARE CHILD HE |
2136266 | Other | NY | UNITED HEALTHCARE |
2198784 | Other | NY | GHI |
5E6181 | Other | NY | BLUE CROSS BLUE SHIELD |
129244 | Other | NY | VYTRA HEALTHCARE |
3021002-003 | Other | NY | CIGNA |
P2734825 | Other | NY | OXFORD HEALTH |
AA71772 | Other | NY | MDNY HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 195321 (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 |
---|---|
Marion B Rose, MD 500 West Main Street, Suite 204, Babylon, NY 11702 Ph: (631) 539-5400 | Marion B Rose, MD 500 W Main St, Suite 204, Babylon, NY 11702-3027 Ph: (631) 539-5400 |
Dr. Dmitriy Vaysman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 655 Deer Park Ave, Babylon, NY 11702 Phone: 631-321-2100 Fax: 631-321-2246 | |
Edward H Tom, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 50 N Carll Ave, Babylon, NY 11702 Phone: 631-661-3693 Fax: 631-661-3734 | |
Dr. Sarita Duchatelier, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 655 Deer Park Ave, Babylon, NY 11702 Phone: 631-321-2100 Fax: 631-321-2246 | |
Rohit Talwar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 West Main Street, Nslij Center For Specialty Care, Suite 204, Babylon, NY 11702 Phone: 631-539-5400 Fax: 631-539-5401 | |
Michael T Pugliese, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 655 Deer Park Ave, Babylon, NY 11702 Phone: 631-321-2100 Fax: 631-321-2246 | |
Eleonor Gutierrez Lazo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 West Main Street, Suite 328, Babylon, NY 11702 Phone: 631-376-1002 Fax: 631-376-1004 |