Renzo Mieles, DO | |
2201 Hempstead Tpke, East Meadow, NY 11554-1859 | |
(516) 572-6434 | |
(516) 572-5465 |
Full Name | Renzo Mieles |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 2201 Hempstead Tpke, East Meadow, 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 |
---|---|---|---|
1861453557 | NPI | - | NPPES |
01507735 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 191207 (New York) | Primary |
Entity Name | Nassau Health Care Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902822992 PECOS PAC ID: 2961315221 Enrollment ID: O20040619000043 |
Mailing Address | Practice Location Address |
---|---|
Renzo Mieles, DO 2201 Hempstead Tpke, East Meadow, NY 11554-1859 Ph: (516) 572-6434 | Renzo Mieles, DO 2201 Hempstead Tpke, East Meadow, NY 11554-1859 Ph: (516) 572-6434 |
Dr. Kenneth H Petersel, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1617 Front St, East Meadow, NY 11554 Phone: 516-794-1330 Fax: 516-794-1531 | |
Dr. Davis Russal Samuel, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-572-0123 | |
Sneha Galiveeti, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-572-6501 Fax: 516-572-5609 | |
Daniel Anghel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-735-6400 Fax: 516-735-6495 | |
Mohsin Mansoor, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-572-6501 | |
Sofia Rubinstein, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-572-6501 Fax: 516-572-5609 | |
Joseph Mackey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-572-6131 |