Renato B Berroya (NPI# 1538130547, PAC ID# 0042367914) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
Nation Provider ID (NPI) | 1538130547 |
PAC ID by PECOS | 0042367914 |
Professional Enrollment ID | I20100618000514 |
Full Name | Renato B Berroya |
Organization Legal Name | LONG ISLAND SURGICAL SPECIALIST, P.C. |
Address |
639 Port Washington Blvd Port Washington NY 11050-3733 |
Phone Number | 5168832212 |
Gender | M |
Graduation Year | 1961 |
Primary Specialty | VASCULAR SURGERY |
Group Practice PAC ID | 3779630645 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
639 Port Washington Blvd, Port Washington, NY 11050-3733 | 5168832212 | LONG ISLAND SURGICAL SPECIALIST, P.C. |
Organization Legal Name | LONG ISLAND SURGICAL SPECIALIST, P.C. |
Physicians | 1 |
Street Address |
639 PORT WASHINGTON BLVD |
City | PORT WASHINGTON |
State | NY |
Zip | 11050-3733 |
Name | Specialty | Organization | Address |
---|---|---|---|
John Zarcone Iii | Thoracic Surgery | 639 Port Washington Blvd, Port Washington, NY 11050-3733 |
Name | Specialty | Organization | Address |
---|---|---|---|
William M Levine | Podiatry | 17 Woodland Dr, Port Washington, NY 11050-1136 | |
Zelik Ziegelbaum | Physical Therapy | 26 Manorhaven Blvd, Port Washington, NY 11050-1608 | |
Zulmary Andino | Physical Therapy | 45 Dunwood Rd, Port Washington, NY 11050-1635 | |
Robbin Gatta | Clinical Social Worker | 3 Seaview Ln, Port Washington, NY 11050-1737 | |
Susan M Bagnini | Clinical Social Worker | 100 Oakland Ave, Port Washington, NY 11050-1842 | |
Dennis J Kinneary | Physical Therapy | 45 Channel Dr, Port Washington, NY 11050-2216 | |
Jagmohan S Walia | Optometry | 25 Old Shore Rd, Port Washington, NY 11050-2222 | |
Jose T. Vargas | Physician Assistant | North Shore Lij Urgent Care PC | 67 Shore Rd, Port Washington, NY 11050-2227 |
Kyana Y Wallace | Physician Assistant | North Shore Lij Urgent Care PC | 67 Shore Rd, Port Washington, NY 11050-2227 |
Tsehwa Yao | Physician Assistant | North Shore Lij Urgent Care PC | 67 Shore Rd, Port Washington, NY 11050-2227 |
Find all physicians in zip 11050 |
City | PORT WASHINGTON |
Zip Code | 11050 |
Specialty | VASCULAR SURGERY |
City + Specialty | PORT WASHINGTON + VASCULAR SURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.