Vivienne Lopez Cabreza, MD | |
7901 Broadway, Elmhurst, NY 11373-1329 | |
(718) 334-3044 | |
(718) 334-5759 |
Full Name | Vivienne Lopez Cabreza |
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Gender | Female |
Speciality | Pediatrics |
Location | 7901 Broadway, Elmhurst, 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 |
---|---|---|---|
1942582911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 271336 (New York) | Secondary |
Entity Name | Montefiore Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
Entity Name | Metropolitan Medical Practice Plan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306138383 PECOS PAC ID: 8022286384 Enrollment ID: O20110713000171 |
Entity Name | Icahn School Of Medicine At Mount Sinai |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609120674 PECOS PAC ID: 8224282926 Enrollment ID: O20130205000439 |
Mailing Address | Practice Location Address |
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Vivienne Lopez Cabreza, MD 5 Metropolitan Oval Apt 1d, Bronx, NY 10462-6524 Ph: (347) 820-0273 | Vivienne Lopez Cabreza, MD 7901 Broadway, Elmhurst, NY 11373-1329 Ph: (718) 334-3044 |
Carlos Andres Paredes Ponce, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-3050 | |
Oleg Sirkis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Tina Q Cheng, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Suite A1-18, Elmhurst, NY 11373 Phone: 718-334-1991 Fax: 718-334-1971 | |
Maria Christina Stavroulakis, Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-2156 | |
Melvin Gertner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Azfar Shabbir, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 79-01 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Lucy Lim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Rooma1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 |