Pia J Gardner, MD | |
88-31 55th Avenue, Suite 201, Elmhurst, NY 11373-4686 | |
(718) 899-6600 | |
(718) 606-3881 |
Full Name | Pia J Gardner |
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Gender | Female |
Speciality | Pediatrics |
Location | 88-31 55th Avenue, Elmhurst, 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 |
---|---|---|---|
1639133812 | NPI | - | NPPES |
0246379 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA08838800 (New Jersey) | Secondary |
208000000X | Pediatrics | 269935 (New York) | Primary |
Entity Name | New York City Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548208127 PECOS PAC ID: 4183535305 Enrollment ID: O20040322001521 |
Entity Name | Advantagecare Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336578772 PECOS PAC ID: 2365735008 Enrollment ID: O20160719000446 |
Mailing Address | Practice Location Address |
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Pia J Gardner, MD 55 Water Street 2nd Floor Cred Dept, New York, NY 10041-0010 Ph: (646) 680-2888 | Pia J Gardner, MD 88-31 55th Avenue, Suite 201, Elmhurst, NY 11373-4686 Ph: (718) 899-6600 |
Carlos Andres Paredes Ponce, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-3050 | |
Oleg Sirkis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Tina Q Cheng, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Suite A1-18, Elmhurst, NY 11373 Phone: 718-334-1991 Fax: 718-334-1971 | |
Maria Christina Stavroulakis, Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-2156 | |
Melvin Gertner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Azfar Shabbir, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 79-01 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Lucy Lim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Rooma1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 |