Mr Thomas Shim, MD | |
15849 84th Street, Howard Beach, NY 11414 | |
(718) 322-7425 | |
(718) 323-5541 |
Full Name | Mr Thomas Shim |
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Gender | Male |
Speciality | Pediatrics |
Location | 15849 84th Street, Howard Beach, 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 |
---|---|---|---|
1457422990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 2042270 (New York) | Primary |
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 |
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Mr Thomas Shim, MD 15849 84th Street, Howard Beach, NY 11414 Ph: (718) 322-7425 | Mr Thomas Shim, MD 15849 84th Street, Howard Beach, NY 11414 Ph: (718) 322-7425 |
Konstantoinos Petinos, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15849 84th St, Howard Beach, NY 11414 Phone: 718-322-7425 Fax: 718-322-5541 | |
Laura Prendergast, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 158-89 84th St, Howard Beach, NY 11414 Phone: 718-322-7425 Fax: 718-323-5541 | |
Dr. Mariya A Odnopozova, Pediatrics Medicare: Medicare Enrolled Practice Location: 157-02 Crossbay Blvd., Medisys Family Care Center-howard Beach, Howard Beach, NY 11414 Phone: 718-323-3591 | |
Allen M Rothenberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 158 49 84th Street, Howard Beach, NY 11414 Phone: 718-322-7425 Fax: 718-323-5541 | |
Maria Aloe, Pediatrics Medicare: Medicare Enrolled Practice Location: 15849 84th St, Howard Beach, NY 11414 Phone: 718-322-3463 | |
Dr. Gilda Guzman Neuhaus, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 16042 85th St, Howard Beach, NY 11414 Phone: 718-845-4145 Fax: 718-738-9482 |