Mr Bryan Baracaldo, | |
13519 77th Ave, Flushing, NY 11367-2823 | |
(516) 662-4487 | |
Not Available |
Full Name | Mr Bryan Baracaldo |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 13519 77th Ave, Flushing, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528599396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 308171 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Solid Tumor Group | 4082503354 | 261 |
Memorial Medical Consultation Group | 6406755081 | 100 |
Entity Name | Memorial Medical Consultation Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053382523 PECOS PAC ID: 6406755081 Enrollment ID: O20040102000372 |
Entity Name | Memorial Solid Tumor Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699746172 PECOS PAC ID: 4082503354 Enrollment ID: O20040313000668 |
Mailing Address | Practice Location Address |
---|---|
Mr Bryan Baracaldo, 13519 77th Ave, Flushing, NY 11367-2823 Ph: (516) 662-4487 | Mr Bryan Baracaldo, 13519 77th Ave, Flushing, NY 11367-2823 Ph: (516) 662-4487 |
Peter Jaesung Jo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 917-340-4637 | |
Yangyang Hu, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13107 40th Rd, Flushing, NY 11354 Phone: 718-888-9183 Fax: 718-888-1751 | |
Angelina Yushuvayev, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14703 77th Rd, Flushing, NY 11367 Phone: 917-859-3721 | |
Chunying Shao, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3808 Union St Ste 6b, Flushing, NY 11354 Phone: 718-888-1125 | |
Esther Hyunhee Lim, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-2388 | |
Ms. Tanya K. Walker, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3515 Parsons Blvd, Flushing, NY 11354 Phone: 718-961-3500 | |
Linda Hosford, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-2627 Fax: 516-437-4167 |