Maryn Sloane, MD | |
15403 10th Ave, Whitestone, NY 11357-1912 | |
(718) 767-9400 | |
Not Available |
Full Name | Maryn Sloane |
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Gender | Female |
Speciality | Psychiatry & Neurology - Addiction Psychiatry |
Location | 15403 10th Ave, Whitestone, 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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1255659157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 273641 (New York) | Secondary |
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 273641 (New York) | Primary |
Entity Name | The Fortune Society Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235357237 PECOS PAC ID: 0042479263 Enrollment ID: O20120307000821 |
Mailing Address | Practice Location Address |
---|---|
Maryn Sloane, MD 68 South Service Road, Suite 350, Melville, NY 11747-2358 Ph: (516) 945-3000 | Maryn Sloane, MD 15403 10th Ave, Whitestone, NY 11357-1912 Ph: (718) 767-9400 |
Ricardo L Rengifo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 333 Parsons Blvd, Whitestone, NY 11357 Phone: 718-746-1215 Fax: 718-747-6395 | |
Dr. Dinshaw D Bamji, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 16060 21st Ave, Whitestone, NY 11357 Phone: 718-279-0202 Fax: 718-279-0202 |