Tania Revolus, MD | |
2201 Hempstead Turnpike, East Meadow, NY 11554 | |
(516) 572-6255 | |
Not Available |
Full Name | Tania Revolus |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 2201 Hempstead Turnpike, 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 |
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1194009340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207V00000X | Obstetrics & Gynecology | 279585 (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 |
Entity Name | Harmony Health Care Long Island |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336669670 PECOS PAC ID: 5991970535 Enrollment ID: O20111212000065 |
Mailing Address | Practice Location Address |
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Tania Revolus, MD 1510 Hawkins Ave, North Baldwin, NY 11510-1815 Ph: (516) 428-7626 | Tania Revolus, MD 2201 Hempstead Turnpike, East Meadow, NY 11554 Ph: (516) 572-6255 |
Dr. Robert Paul Griggs Jr., M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 30 Merrick Ave, Suite 103, East Meadow, NY 11554 Phone: 516-794-4422 Fax: 516-794-7862 | |
Hala Ubaid, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-572-6255 | |
Vinette Greenland, M.D, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-572-6254 Fax: 516-572-3124 | |
Susan Shafik, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 917-744-2119 | |
Lennox O'neil Bryson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-572-6254 Fax: 516-572-3124 | |
Amy Mack Sukati, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-572-6254 Fax: 516-572-3124 |