Prabhakar Kocherlakota, MD | |
70 Dubois St, Newburgh, NY 12550-4851 | |
(914) 493-8558 | |
(914) 493-1488 |
Full Name | Prabhakar Kocherlakota |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 70 Dubois St, Newburgh, 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 |
---|---|---|---|
1326035031 | NPI | - | NPPES |
01783664 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 240081 (New York) | Primary |
Entity Name | Boston Children's Health Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 |
Mailing Address | Practice Location Address |
---|---|
Prabhakar Kocherlakota, MD 22 Saw Mill River Rd, 2nd Floor, Hawthorne, NY 10532-1533 Ph: (914) 593-1606 | Prabhakar Kocherlakota, MD 70 Dubois St, Newburgh, NY 12550-4851 Ph: (914) 493-8558 |
Dr. Donna Jean Argenzio, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 266 North St, Suite A, Newburgh, NY 12550 Phone: 845-565-5737 Fax: 845-565-7021 | |
Dr. Catherine Dailey Agricola, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 347 Fullerton Ave Ste 1, Newburgh, NY 12550 Phone: 845-510-1870 Fax: 845-510-1872 | |
Jay S Saunders, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5177 Route 9w, Newburgh, NY 12550 Phone: 845-569-0123 | |
Dr. Thomas Depaola, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 147 Lake St, Newburgh, NY 12550 Phone: 845-563-8000 | |
Andres Joaquin Greco, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 377 Broadway, Newburgh, NY 12550 Phone: 845-562-2291 | |
Dr. Mukai Heather Jaravaza, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 147 Lake Street, Greater Hudson Valley Family Health Cent, Newburgh, NY 12550 Phone: 845-563-8000 |