Susmita Pati, MD | |
4 Technology Dr, Suite 250, Setauket, NY 11733-4080 | |
(631) 444-4601 | |
(631) 444-4990 |
Full Name | Susmita Pati |
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Gender | Female |
Speciality | Pediatrics |
Location | 4 Technology Dr, Setauket, 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 |
---|---|---|---|
1730102351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD419905 (Pennsylvania) | Secondary |
208000000X | Pediatrics | 210122 (New York) | Primary |
Entity Name | Stony Brook Children's Service, University Faculty Practice Corporatio |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083660575 PECOS PAC ID: 8921993551 Enrollment ID: O20040220000822 |
Mailing Address | Practice Location Address |
---|---|
Susmita Pati, MD Po Box 1559, Stony Brook, NY 11790-0989 Ph: (631) 444-0650 | Susmita Pati, MD 4 Technology Dr, Suite 250, Setauket, NY 11733-4080 Ph: (631) 444-4601 |
Anastasia Rigas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18 Blueberry Ridge Rd, Setauket, NY 11733 Phone: 631-751-2063 Fax: 631-675-1794 | |
Dr. Irwin L. Schwartz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Main St, Suite 6, Setauket, NY 11733 Phone: 631-751-7676 | |
Dr. Laurie E. Panesar, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4 Technology Drive, Stony Brook Childrens Services, Setauket, NY 11733 Phone: 631-444-4601 |