| Northshore Hospitalist Associates Pllc | |
|
27 Magnolia Ln Roslyn Heights NY 11577-1507 | |
| (347) 575-7180 | |
| Not Available |
| Full Name | Northshore Hospitalist Associates Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 27 Magnolia Ln, Roslyn Heights, New York |
| Authorized Official Name and Position | Rostislav Tabak (MD) |
| Authorized Official Contact | 3475757180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Hospitalist Associates Pllc 27 Magnolia Ln Roslyn Heights NY 11577-1507 Ph: () - | Northshore Hospitalist Associates Pllc 27 Magnolia Ln Roslyn Heights NY 11577-1507 Ph: (347) 575-7180 |
| NPI Number | 1104609221 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/15/2023 |
| Medicare PECOS PAC ID | 6709232754 |
|---|---|
| Medicare Enrollment ID | O20231026002484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104609221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rostislav Tabak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902103823 PECOS PAC ID: 4688823099 Enrollment ID: I20140117000319 |
| Provider Name | Hein Htet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083903041 PECOS PAC ID: 1850517129 Enrollment ID: I20140722001610 |
| Provider Name | Qian Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639437585 PECOS PAC ID: 1355650425 Enrollment ID: I20151013000869 |
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