Melanie M Goth, MD | |
10 Ronald Reagan Blvd, Warwick, NY 10990-4104 | |
(845) 986-2058 | |
(845) 986-7669 |
Full Name | Melanie M Goth |
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Gender | Female |
Speciality | Pediatrics |
Location | 10 Ronald Reagan Blvd, Warwick, 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 |
---|---|---|---|
1447346838 | NPI | - | NPPES |
02252440 | Medicaid | NY | |
0062511 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 220670-1 (New York) | Primary |
208000000X | Pediatrics | 25MA87243700 (New Jersey) | Secondary |
Entity Name | Boston Children's Health Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 |
Mailing Address | Practice Location Address |
---|---|
Melanie M Goth, MD 10 Ronald Reagan Blvd, Warwick, NY 10990-4104 Ph: (845) 986-2058 | Melanie M Goth, MD 10 Ronald Reagan Blvd, Warwick, NY 10990-4104 Ph: (845) 986-2058 |
Mrs. Kamalam Nandakumar Menon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Maple Ave, Warwick, NY 10990 Phone: 845-986-9979 Fax: 845-986-9764 | |
Mark L Horowitz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Ronald Reagan Blvd, Warwick, NY 10990 Phone: 845-986-2058 Fax: 845-986-7669 | |
Jeffrey S Horowitz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Ronald Reagan Blvd, Warwick, NY 10990 Phone: 845-986-2058 Fax: 845-986-7669 | |
Luciano V Barone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Ronald Reagan Blvd, Warwick, NY 10990 Phone: 845-986-2058 Fax: 845-986-7669 | |
Dominic Berlingieri, Pediatrics Medicare: Medicare Enrolled Practice Location: 3 Saint Stephens Ln, Suite 3, Warwick, NY 10990 Phone: 845-987-7800 Fax: 845-987-7811 |