Rosendo Segundo Icochea, is a
Plastic Surgery physician based in Corona, New York. Rosendo Segundo Icochea is licensed to practice in New York (license number 193456) and his current practice location is 40-23 A Junction Blvd, Corona, New York. He can be reached at his office (for appointments etc.) via phone at
(718) 672-2522.
NPI number for Rosendo Segundo Icochea is 1427294370 and his current mailing address is 40-23 A Junction Blvd, 2 Floor, Corona, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427294370.
Physician's Profile
| Full Name | Rosendo Segundo Icochea |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 40-23 A Junction Blvd, Corona, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427294370
- Provider Enumeration Date: 12/24/2008
- Last Update Date: 12/24/2008
Medical Identifiers
Medical identifiers for Rosendo Segundo Icochea such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427294370 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | 193456 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rosendo Segundo Icochea is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rosendo Segundo Icochea,
40-23 A Junction Blvd, 2 Floor,
Corona, NY 11368
Ph: (718) 672-2522 | Rosendo Segundo Icochea,
40-23 A Junction Blvd,
Corona, NY 11368
Ph: (718) 672-2522 |
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