Svetlana Prokhorova, MD | |
9817 Queens Boulevard, Ll2, Rego Park, NY 11374-3336 | |
(718) 275-5600 | |
(718) 275-5608 |
Full Name | Svetlana Prokhorova |
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Gender | Female |
Speciality | Pediatrics |
Location | 9817 Queens Boulevard, Rego Park, 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 |
---|---|---|---|
1396754107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 223288 (New York) | Primary |
Entity Name | Prokhorov's Pediatrics And Child Neurology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104132778 PECOS PAC ID: 3274701891 Enrollment ID: O20110726000051 |
Mailing Address | Practice Location Address |
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Svetlana Prokhorova, MD 9817 Queens Boulevard, Ll2, Rego Park, NY 11374-3336 Ph: (718) 275-5600 | Svetlana Prokhorova, MD 9817 Queens Boulevard, Ll2, Rego Park, NY 11374-3336 Ph: (718) 275-5600 |
Daniel Umali, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8502 66th Rd, Rego Park, NY 11374 Phone: 718-544-7770 | |
Mrs. Xin Chen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9229 Queens Blvd, Rego Park, NY 11374 Phone: 718-575-1992 Fax: 917-832-6697 | |
Dr. Thomas Bloom, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6254 97th Pl, Suite 2b, Rego Park, NY 11374 Phone: 718-595-1166 Fax: 718-595-1167 | |
Dr. Sandhya Jhaveri, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9525 Queens Blvd, Suite 520, Rego Park, NY 11374 Phone: 718-896-4399 | |
Dr. Jose Escueta Quiwa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8502 66th Rd, Rego Park, NY 11374 Phone: 718-426-5202 Fax: 718-897-2874 | |
Sammir Rosembett Perez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6608 Austin St Apt 3g, Rego Park, NY 11374 Phone: 443-624-6702 |