| Theodore M Petkov, MD | |
|
33-57 Harrison St, Johnson City, NY 13790-2143 | |
| (607) 763-6412 | |
| (607) 763-5854 |
| Full Name | Theodore M Petkov |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 33-57 Harrison St, Johnson City, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184616575 | NPI | - | NPPES |
| 01740303 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 165516 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore M Petkov, MD 346 Grand Ave, Johnson City, NY 13790-2558 Ph: (607) 770-0025 | Theodore M Petkov, MD 33-57 Harrison St, Johnson City, NY 13790-2143 Ph: (607) 763-6412 |
John Peter Zevan, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6611 Fax: 607-763-6411 | |
Dr. Shae Lynn Bolander, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 Fax: 607-763-5854 | |
Abdullah Faiq, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 | |
Teresa A Sacco-bedosky, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 Fax: 607-763-5854 | |
Mustafa Ali Khan, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 | |
Michael Shannon Hennessey, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 Fax: 607-763-5854 |