Mark A Mikhitarian, DO | |
300 Community Dr, Manhasset, NY 11030-3876 | |
(516) 562-4677 | |
(516) 562-1379 |
Full Name | Mark A Mikhitarian |
---|---|
Gender | Male |
Speciality | Radiology - Vascular & Interventional Radiology |
Location | 300 Community Dr, Manhasset, 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 |
---|---|---|---|
1144750332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | 296858 (New York) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 296858 (New York) | Secondary |
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 | Southside Faculty Medical Affiliates University Faculty Prac |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033791058 PECOS PAC ID: 5698175933 Enrollment ID: O20210608003649 |
Mailing Address | Practice Location Address |
---|---|
Mark A Mikhitarian, DO 300 Community Dr, Manhasset, NY 11030-3876 Ph: (516) 562-4677 | Mark A Mikhitarian, DO 300 Community Dr, Manhasset, NY 11030-3876 Ph: (516) 562-4677 |
Dr. Michael Dimitrios Karachalios, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 888-321-3627 | |
Eran Ben-levi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Nsuh-dept Of Radiology, 300 Community Drive, Manhasset, NY 11030 Phone: 516-562-2819 | |
Adina Haramati, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-0100 | |
Gregory Michael Grimaldi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Community Drive, North Shore University Hospital Dept Of Radiology, Manhasset, NY 11030 Phone: 516-562-4800 | |
Dr. John Shannon O'donnell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Department Of Radiology, Manhasset, NY 11030 Phone: 516-562-4797 | |
Jonathan Ross Weisiger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-0100 | |
Laura Bassett Madsen, Radiology Medicare: Medicare Enrolled Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-0100 |