Stephen Golub, MD | |
118 North Country Road, Port Jefferson, NY 11777 | |
(631) 473-7171 | |
(631) 473-4605 |
Full Name | Stephen Golub |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology - Gynecology |
Location | 118 North Country Road, Port Jefferson, 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 |
---|---|---|---|
1568520708 | NPI | - | NPPES |
1421871 | Other | NY | STATE LIC |
1461871 | Other | NY | NYS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VG0400X | Obstetrics & Gynecology - Gynecology | 142187 (New York) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | 1421871 (New York) | Primary |
Entity Name | Prohealth Care Associates Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
Mailing Address | Practice Location Address |
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Stephen Golub, MD 118 North Country Road, Port Jefferson, NY 11777 Ph: (631) 473-7171 | Stephen Golub, MD 118 North Country Road, Port Jefferson, NY 11777 Ph: (631) 473-7171 |
Amy Renee Richter, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 118 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-7171 Fax: 631-473-4605 | |
Steven Ira Ross, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 49 Crooked Oak Rd, Port Jefferson, NY 11777 Phone: 631-928-8686 | |
Anthony Mark Giammarino, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 118 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-7171 Fax: 631-473-4605 | |
Lance Edwards, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 118 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-7171 Fax: 631-473-4605 | |
John Gregg Petraco, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 118 N Country Rd, Port Jefferson, NY 11777 Phone: 631-471-7171 Fax: 631-473-4605 | |
Dennis Stephen Strittmatter, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 118 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-7171 Fax: 631-473-4605 |