| Queens Nassau Nephrology Services Pllc | |
|
300 Old Country Road 111 Mineola NY 11501-4112 | |
| (516) 745-0500 | |
| (516) 745-1534 |
| Full Name | Queens Nassau Nephrology Services Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Old Country Road, Mineola, New York |
| Authorized Official Name and Position | Andrey Goncharuk (PRESIDENT) |
| Authorized Official Contact | 5167450500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Nassau Nephrology Services Pllc 300 Old Country Road 111 Mineola NY 11501-4112 Ph: (516) 745-0500 | Queens Nassau Nephrology Services Pllc 300 Old Country Road 111 Mineola NY 11501-4112 Ph: (516) 745-0500 |
| NPI Number | 1992934467 |
|---|---|
| Provider Enumeration Date | 07/06/2009 |
| Last Update Date | 12/05/2014 |
| Medicare PECOS PAC ID | 5597893057 |
|---|---|
| Medicare Enrollment ID | O20100505000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992934467 | NPI | - | NPPES |
| 03340883 | Medicaid | NY |
| Provider Name | Yelena Rosenberg |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598763187 PECOS PAC ID: 2769450378 Enrollment ID: I20040921001371 |
| Provider Name | Christopher Caputo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992703490 PECOS PAC ID: 9638103575 Enrollment ID: I20050921000192 |
| Provider Name | Binny Koshy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114925708 PECOS PAC ID: 8820008378 Enrollment ID: I20060427000396 |
| Provider Name | Mario Marotta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871591453 PECOS PAC ID: 4385655349 Enrollment ID: I20060505000593 |
| Provider Name | Eduard Bover |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1801831763 PECOS PAC ID: 6305843426 Enrollment ID: I20061103000086 |
| Provider Name | Andrey Goncharuk |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356349922 PECOS PAC ID: 1759383557 Enrollment ID: I20080108000074 |
| Provider Name | Vincent Avila |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518965110 PECOS PAC ID: 7911909718 Enrollment ID: I20100505000317 |
Frank A. Monteleone, M.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 173 Mineola Blvd, Suite 203, Mineola, NY 11501 Phone: 516-741-3560 Fax: 516-741-3562 | |
Winthrop Infectious Disease Associates Univ Faculty Practice Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Station Plz N, Suite 432, Mineola, NY 11501 Phone: 516-663-2507 Fax: 516-663-3234 | |
Winthrop Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Station Plz N, Suite 310, Mineola, NY 11501 Phone: 516-663-2051 | |
Winthrop Medical Affiliates Urgent Care University Faculty Practice C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Station Plz N, Suite 110, Mineola, NY 11501 Phone: 516-663-1111 | |
Winthrop University Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-2288 | |
Winthrop Geriatric Medicine Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 222 Station Plz N, Suite 518, Mineola, NY 11501 Phone: 516-663-2588 Fax: 516-663-4644 | |
Samuel Park Md, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 1st St Unit 551, Mineola, NY 11501 Phone: 516-619-8098 |