Vahakn Shant Keskinyan, MD | |
1 Dakota Drive, Suite 100, Lake Success, NY 11042 | |
(516) 622-7337 | |
Not Available |
Full Name | Vahakn Shant Keskinyan |
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Gender | Male |
Speciality | Pediatrics |
Location | 1 Dakota Drive, Lake Success, 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 |
---|---|---|---|
1013413004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 310026 (New York) | Primary |
Entity Name | Optum Medical Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
Mailing Address | Practice Location Address |
---|---|
Vahakn Shant Keskinyan, MD 1 Dakota Drive, Suite 100, Lake Success, NY 11042 Ph: (516) 622-7337 | Vahakn Shant Keskinyan, MD 1 Dakota Drive, Suite 100, Lake Success, NY 11042 Ph: (516) 622-7337 |
Dr. Nili Elana Major, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1983 Marcus Avenue, Suite 130, Lake Success, NY 11042 Phone: 516-802-6100 Fax: 516-802-6131 | |
Karen Joan Yan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2 Pro Health Plz, Lake Success, NY 11042 Phone: 516-622-7337 Fax: 516-622-7331 | |
Maurice J Chianese, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2 Pro Health Plz, Lake Success, NY 11042 Phone: 516-622-7337 Fax: 516-622-7331 | |
Lynn Talin Cetin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2 Pro Health Plz, Lake Success, NY 11042 Phone: 516-622-7337 | |
David Meryash, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Lij Developmental & Behav. Ped, 1983 Marcus Avenue, Lake Success, NY 11042 Phone: 516-802-6100 | |
James C Fagin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Dakota Drive, Suite 312, Lake Success, NY 11042 Phone: 516-608-2898 Fax: 516-608-2897 |