| Wound Treatment Medical Associates Of The South Shore | |
|
900 Franklin Avenue Wound Treatment Medical Associates Of The South Shore Valley Stream NY 11580 | |
| (516) 256-6576 | |
| (516) 256-6888 |
| Full Name | Wound Treatment Medical Associates Of The South Shore |
|---|---|
| Speciality | Clinic/Center |
| Location | 900 Franklin Avenue, Valley Stream, New York |
| Authorized Official Name and Position | Liz Vandewater (OFFICE MANAGER) |
| Authorized Official Contact | 5162566576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Treatment Medical Associates Of The South Shore 900 Franklin Avenue Wound Treatment Medical Associates Of The South Shore Valley Stream NY 11580 Ph: (516) 256-6576 | Wound Treatment Medical Associates Of The South Shore 900 Franklin Avenue Wound Treatment Medical Associates Of The South Shore Valley Stream NY 11580 Ph: (516) 256-6576 |
| NPI Number | 1740372903 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 04/15/2020 |
| Medicare PECOS PAC ID | 4981603081 |
|---|---|
| Medicare Enrollment ID | O20061219000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740372903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 137566 (New York) | Primary |
| Provider Name | Manoj Sadhnani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164521191 PECOS PAC ID: 9032161351 Enrollment ID: I20050215000786 |
| Provider Name | Devendra Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1225085335 PECOS PAC ID: 0941249411 Enrollment ID: I20050426000247 |
| Provider Name | Ira Klonsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174564264 PECOS PAC ID: 1153320254 Enrollment ID: I20061219000543 |
| Provider Name | Maryann Bilotti |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194758839 PECOS PAC ID: 4789683889 Enrollment ID: I20061220000377 |
Miriam Simon, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 878 Longacre Ave, Valley Stream, NY 11581 Phone: 917-687-1931 | |
Valley Stream Medical Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15 Fletcher Ave, Valley Stream Medical Associates, P.c., Valley Stream, NY 11580 Phone: 516-825-3666 Fax: 516-872-5133 | |
East Merrick Medical, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 E Merrick Rd, Ste 306, Valley Stream, NY 11580 Phone: 516-872-2200 | |
Value Based Medicine D Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 E Sunrise Hwy, Valley Stream, NY 11581 Phone: 203-901-2493 Fax: 866-497-2991 | |
Germaine Cares Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 30 Marlow Rd, Valley Stream, NY 11580 Phone: 516-707-0399 | |
Grsp Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 774 Dumont Pl, Valley Stream, NY 11581 Phone: 732-281-3590 | |
Raza Medical, P.c Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1221 Dutch Broadway, Valley Stream, NY 11580 Phone: 516-887-0833 Fax: 516-284-6516 |