Olivia Haney, | |
256 Mason Ave, Staten Island, NY 10305-3408 | |
(718) 226-1268 | |
Not Available |
Full Name | Olivia Haney |
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Gender | Female |
Speciality | Surgery |
Location | 256 Mason Ave, Staten Island, 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 |
---|---|---|---|
1104212687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 308612 (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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Olivia Haney, 50 Murray St Apt 717, New York, NY 10007-2263 Ph: (423) 967-9636 | Olivia Haney, 256 Mason Ave, Staten Island, NY 10305-3408 Ph: (718) 226-1268 |
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Xin Yun Li, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 355 Bard Ave, Rumc Department Of Surgery, Staten Island, NY 10310 Phone: 718-818-2420 | |
Dr. Ireneo Valdes Albano, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 188 Ocean Ter, Staten Island, NY 10301 Phone: 718-816-7962 | |
Dr. Alfred Culliford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 256 Mason Ave, Staten Island, NY 10305 Phone: 718-226-1270 | |
Lance Jung, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1050 Clove Rd, Staten Island, NY 10301 Phone: 718-816-6440 Fax: 718-816-3612 | |
Dr. Anthony Kopatsis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3163 Hylan Blvd, Staten Island, NY 10306 Phone: 718-667-7009 Fax: 718-667-7514 |