Michael B Grosso, MD | |
241 E Main St, Huntington, NY 11743-2924 | |
(631) 367-5300 | |
(631) 351-4561 |
Full Name | Michael B Grosso |
---|---|
Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
Location | 241 E Main St, Huntington, 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 |
---|---|---|---|
1184634503 | NPI | - | NPPES |
00966312 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 151788-1 (New York) | Primary |
Entity Name | Huntington Hospital Dolan Family Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578593588 PECOS PAC ID: 1153211792 Enrollment ID: O20040317001466 |
Entity Name | Huntington Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386619385 PECOS PAC ID: 1850296427 Enrollment ID: O20040426001035 |
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 |
---|---|
Michael B Grosso, MD 241 E Main St, Huntington, NY 11743-2924 Ph: (631) 367-5300 | Michael B Grosso, MD 241 E Main St, Huntington, NY 11743-2924 Ph: (631) 367-5300 |
Eileen P Sheehy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 164 East Main Street, Huntington Pediatrics Pc, Huntington, NY 11743 Phone: 631-427-0530 Fax: 631-427-0530 | |
Nina A. Tomei, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 775 Park Avenue, Suite 125, Huntington, NY 11743 Phone: 631-659-4000 Fax: 631-659-4048 | |
Kathrynne F. Yland, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 241 E Main St, Huntington, NY 11743 Phone: 631-367-5300 Fax: 631-351-4561 | |
Dr. Anne E. Conrad, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 241 E Main St, Huntington, NY 11743 Phone: 631-367-5300 Fax: 631-351-4561 | |
Dr. Beena Mathai-jose, Pediatrics Medicare: Medicare Enrolled Practice Location: Optum Huntington Pediatrics, 205 East Main Street, Ste 2-8, Huntington, NY 11743 Phone: 631-424-1741 | |
Bruce Edward Gerberg, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 41 Fairview St, Huntington, NY 11743 Phone: 631-427-0530 Fax: 631-427-0147 |