Pinchi Sundaram Srinivasan, MD | |
5645 Main St, Flushing, NY 11355-5045 | |
(718) 670-1800 | |
Not Available |
Full Name | Pinchi Sundaram Srinivasan |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 5645 Main St, Flushing, 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 |
---|---|---|---|
1043262900 | NPI | - | NPPES |
02526805 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 254901 (New York) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 254901 (New York) | Primary |
Entity Name | Metropolitan Medical Practice Plan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306138383 PECOS PAC ID: 8022286384 Enrollment ID: O20110713000171 |
Entity Name | New York Queens Medicine And Surgery, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003114851 PECOS PAC ID: 4082883673 Enrollment ID: O20110817000163 |
Entity Name | Mount Sinai School Of Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508127531 PECOS PAC ID: 6406096544 Enrollment ID: O20130712000368 |
Mailing Address | Practice Location Address |
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Pinchi Sundaram Srinivasan, MD Po Box 27842, New York, NY 10087-7842 Ph: (718) 661-8711 | Pinchi Sundaram Srinivasan, MD 5645 Main St, Flushing, NY 11355-5045 Ph: (718) 670-1800 |
Alicia Marie Mcbride, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5645 Main St Fl 1, Flushing, NY 11355 Phone: 718-670-1800 | |
David Ko, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13743 45th Ave, Flushing, NY 11355 Phone: 929-362-3006 Fax: 929-362-3026 | |
Efthemia Nicolopoulos, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1800 Fax: 516-437-4167 | |
Lori R Hoch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14149 70th Rd, Flushing, NY 11367 Phone: 718-268-5282 | |
Kathleen Phung, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13743 45th Ave, Flushing, NY 11355 Phone: 929-362-3006 Fax: 929-362-3026 | |
Dr. Alan Davis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1033 |