Brookhaven Heart Pllc | |
325 E Main St Ste 120 Patchogue NY 11772-3114 | |
(631) 654-3278 | |
(631) 654-1474 |
Full Name | Brookhaven Heart Pllc |
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Speciality | Internal Medicine |
Location | 325 E Main St Ste 120, Patchogue, New York |
Authorized Official Name and Position | Satheesh Joseph (PRESIDENT) |
Authorized Official Contact | 6316543278 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Brookhaven Heart Pllc 325 E Main St Ste 120 Patchogue NY 11772-3114 Ph: (631) 654-3278 | Brookhaven Heart Pllc 325 E Main St Ste 120 Patchogue NY 11772-3114 Ph: (631) 654-3278 |
NPI Number | 1639260607 |
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Provider Enumeration Date | 09/27/2006 |
Last Update Date | 11/07/2022 |
Medicare PECOS PAC ID | 6305846114 |
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Medicare Enrollment ID | O20061229000335 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639260607 | NPI | - | NPPES |
Provider Name | Kumar S Mandal |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689676884 PECOS PAC ID: 1456322965 Enrollment ID: I20040805001084 |
Provider Name | Nandita M Mathur Khaneja |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1629005947 PECOS PAC ID: 0345244299 Enrollment ID: I20060907000019 |
Provider Name | Manoj Kumar Trehan |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1184657959 PECOS PAC ID: 3779588439 Enrollment ID: I20061002000469 |
Provider Name | Satheesh Joseph |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1033133343 PECOS PAC ID: 4789684598 Enrollment ID: I20061229000318 |
Provider Name | Marc C Cimmino |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669578159 PECOS PAC ID: 9537241849 Enrollment ID: I20080125000242 |
Provider Name | Deepu Alexander |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275728560 PECOS PAC ID: 9830266907 Enrollment ID: I20080916000467 |
Provider Name | Annamaria Pepitone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003069709 PECOS PAC ID: 1153470554 Enrollment ID: I20090514000003 |
Provider Name | Adam L Kruger |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1568695831 PECOS PAC ID: 4789878620 Enrollment ID: I20101104000417 |
Provider Name | Daniel La |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457621500 PECOS PAC ID: 9032367727 Enrollment ID: I20140730000128 |
Provider Name | Christina Marie Dalrymple |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629491402 PECOS PAC ID: 2365759198 Enrollment ID: I20150911000190 |
Provider Name | Jereesh T John |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922443829 PECOS PAC ID: 8224345962 Enrollment ID: I20150914001457 |
Provider Name | Stephanie Kelvas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942679469 PECOS PAC ID: 5092005116 Enrollment ID: I20160602000466 |
Provider Name | Bimal Patel |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1871729566 PECOS PAC ID: 1557652393 Enrollment ID: I20160624001092 |
Provider Name | Wasiq Rahman |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1407083454 PECOS PAC ID: 1355590902 Enrollment ID: I20170629000251 |
Provider Name | Saurin Patel |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1245648203 PECOS PAC ID: 6800113291 Enrollment ID: I20170908001709 |
Provider Name | Kimberly P Barnaby |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952783045 PECOS PAC ID: 3678827458 Enrollment ID: I20181114000981 |
Provider Name | Zohair A Hasan |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1942644703 PECOS PAC ID: 4587990833 Enrollment ID: I20190725000165 |
Provider Name | Zena Esther Sara Joseph |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881822906 PECOS PAC ID: 7012248347 Enrollment ID: I20191017000454 |
Provider Name | Michelle Darlin Maurina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174172803 PECOS PAC ID: 7911239058 Enrollment ID: I20191023000678 |
Provider Name | Blessan Thomas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336597103 PECOS PAC ID: 3870889256 Enrollment ID: I20191024000283 |
Provider Name | Diane Cesario |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205489119 PECOS PAC ID: 7517399140 Enrollment ID: I20191119002572 |
Provider Name | Ci Ai Li |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669024691 PECOS PAC ID: 8224365374 Enrollment ID: I20200729003650 |
Provider Name | Nathaniel A Crow |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235663568 PECOS PAC ID: 4082024039 Enrollment ID: I20201103002611 |
Provider Name | Christine Canlas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578296562 PECOS PAC ID: 3779951975 Enrollment ID: I20221118002347 |
Provider Name | Afsoon Razavi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447812482 PECOS PAC ID: 1355790551 Enrollment ID: I20231213002883 |
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