Mr John Francis Bisacco, MD | |
300 Bay Shore Rd, North Babylon, NY 11703-2823 | |
(631) 586-2700 | |
Not Available |
Full Name | Mr John Francis Bisacco |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 300 Bay Shore Rd, North Babylon, 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 |
---|---|---|---|
1740254937 | NPI | - | NPPES |
00944821 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 1625261 (New York) | Primary |
Entity Name | North Shore Lij Urgent Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679970891 PECOS PAC ID: 6002131778 Enrollment ID: O20150223000060 |
Mailing Address | Practice Location Address |
---|---|
Mr John Francis Bisacco, MD 55 Water St, 12th Floor Credentialing, New York, NY 10041-0004 Ph: (646) 680-2888 | Mr John Francis Bisacco, MD 300 Bay Shore Rd, North Babylon, NY 11703-2823 Ph: (631) 586-2700 |
Sheila F Natbony, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Bay Shore Rd, North Babylon, NY 11703 Phone: 631-586-2700 Fax: 631-586-3524 | |
Seetha D Thallur, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Bay Shore Rd, North Babylon, NY 11703 Phone: 631-586-2700 Fax: 631-586-3524 | |
Jagan N Pahuja, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Bay Shore Rd, North Babylon, NY 11703 Phone: 631-586-2700 Fax: 631-586-3524 | |
Dr. Regina Imelda Mcinerney-lopez, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Bayshore Road, North Babylon, NY 11530 Phone: 631-586-2700 Fax: 631-586-3524 | |
Jorge Ernesto Mejia-corletto, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1476 Deer Park Ave Ste 2, North Babylon, NY 11703 Phone: 631-462-1184 Fax: 631-462-1187 | |
Mohammad Hannan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Bayshore Road, North Babylon, NY 11703 Phone: 631-586-2700 Fax: 631-491-8613 |