Pratima Goyal, MD | |
1869 Brentwood Rd, Brentwood, NY 11717-4625 | |
(631) 853-3400 | |
Not Available |
Full Name | Pratima Goyal |
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Gender | Female |
Speciality | Family Medicine |
Location | 1869 Brentwood Rd, Brentwood, 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 |
---|---|---|---|
1306930136 | NPI | - | NPPES |
01769951 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 198368 (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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Pratima Goyal, MD 45 Cabriolet Ln, Melville, NY 11747-1921 Ph: () - | Pratima Goyal, MD 1869 Brentwood Rd, Brentwood, NY 11717-4625 Ph: (631) 853-3400 |
Dr. Maria Del Rosario Vesey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-3428 | |
Dr. Carlos Torres, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 664 Suffolk Ave, Brentwood, NY 11717 Phone: 631-273-7645 Fax: 631-273-4928 | |
Richard Joseph Bonanno, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-3458 | |
Mayur S Rali, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1869 Brentwood Road, Brentwood, NY 11717 Phone: 631-853-3400 Fax: 631-853-3498 | |
Sarita K Dorschug, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 652 Suffolk Ave, Suite 208, Brentwood, NY 11717 Phone: 631-231-3535 Fax: 631-231-3561 |