Mark H Vine, MD | |
123 Maple Ave, Suite 203, Cedarhurst, NY 11516-2240 | |
(516) 561-6200 | |
(516) 561-7112 |
Full Name | Mark H Vine |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 49 Years |
Location | 123 Maple Ave, Cedarhurst, New York |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386668010 | NPI | - | NPPES |
00382650 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 127841 (New York) | Primary |
Entity Name | Intermed Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144235516 PECOS PAC ID: 6406745645 Enrollment ID: O20040315000371 |
Entity Name | Total Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811006083 PECOS PAC ID: 8921998006 Enrollment ID: O20040319001415 |
Entity Name | Mihail Medvedovsky Physician Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942304001 PECOS PAC ID: 3779474937 Enrollment ID: O20101203000912 |
Entity Name | Sla Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528447679 PECOS PAC ID: 4981994621 Enrollment ID: O20160608000918 |
Entity Name | Home Physician Assistant Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639782972 PECOS PAC ID: 7315350659 Enrollment ID: O20210106001326 |
Entity Name | Hamid Lalani Medical Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093475220 PECOS PAC ID: 3971999400 Enrollment ID: O20220408000494 |
Mailing Address | Practice Location Address |
---|---|
Mark H Vine, MD 137 Fulton Ave, Atlantic Beach, NY 11509-1312 Ph: (516) 561-6200 | Mark H Vine, MD 123 Maple Ave, Suite 203, Cedarhurst, NY 11516-2240 Ph: (516) 561-6200 |