Lionel U Mailloux (NPI# 1538130992, PAC ID# 0648179671) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1538130992 |
| PAC ID by PECOS | 0648179671 |
| Professional Enrollment ID | I20040108000134 |
| Full Name | Lionel U Mailloux |
| Organization Legal Name | NORTH SHORE - LIJ MEDICAL PC |
| Address |
330 Community Dr Manhasset NY 11030-3816 |
| Phone Number | 5167082550 |
| Gender | M |
| Credential | MD |
| Medical School | HAHNEMANN MEDICAL COLLEGE AND HOSPITAL - KANSAS CITY - NLG |
| Graduation Year | 1962 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 3375701568 |
| Number of Group Practice Members | 2439 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330106 | NORTH SHORE UNIVERSITY HOSPITAL |
| 330181 | GLEN COVE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 300 Community Dr, Manhasset, NY 11030-3816 | NORTH SHORE - LIJ MEDICAL PC | |
| 300 Community Dr Ll, Manhasset, NY 11030-3816 | 5165622229 | NORTH SHORE - LIJ MEDICAL PC |
| 330 Community Dr, Manhasset, NY 11030-3816 | 5167082550 | NORTH SHORE - LIJ MEDICAL PC |
| 350 Community Dr, Manhasset, NY 11030-3816 | 5165623845 | NORTH SHORE - LIJ MEDICAL PC |
| Organization Legal Name | NORTH SHORE - LIJ MEDICAL PC |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deevya L Narayanan | Family Practice | North Shore - Lij Medical PC | 25 Central Park Rd, Plainview, NY 11803-2001 |
| Benjamin A Sahn | Gastroenterology | North Shore - Lij Medical PC | 300 Community Dr Ll, Manhasset, NY 11030-3816 |
| Michelle P Smith | Registered Dietitian Or Nutrition Professional | North Shore - Lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Rubin S Cooper | Pediatric Medicine | North Shore - Lij Medical PC | 350 Community Dr, Manhasset, NY 11030-3816 |
| Amy Liu | Physician Assistant | North Shore - Lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Mary Vallone | Physician Assistant | North Shore - Lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| John L Ricci | Surgical Oncology | North Shore - Lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Allison B Stakofsky | Pediatric Medicine | North Shore - Lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Kristina A Meier | Nurse Practitioner | North Shore - Lij Medical PC | 350 Community Dr, Manhasset, NY 11030-3816 |
| Danielle Hartzband | Nurse Practitioner | North Shore - Lij Medical PC | 1085 Park Ave, New York, NY 10128-1180 |
| Street Address |
330 COMMUNITY DR |
| City | MANHASSET |
| State | NY |
| Zip | 11030-3816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nehal Shukla | Family Medicine | North Shore-lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Elena N Kwon | Pediatric Medicine | North Shore-lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Saritha Surendran-mohanan | Nurse Practitioner | North Shore-lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Barbara A Polowczyk | Nurse Practitioner | North Shore-lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Vikram J Singh | Internal Medicine | North Shore-lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Michelle P Smith | Registered Dietitian Or Nutrition Professional | North Shore - Lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Amy Liu | Physician Assistant | North Shore - Lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| John L Ricci | Surgical Oncology | North Shore - Lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| John C Karaptis | Physician Assistant | North Shore - Lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Rachel Vasquez-williams | Audiologist | North Shore - Lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Lerner | Diagnostic Radiology | 37 Valley Rd, Manhasset, NY 11030-1441 | |
| Anna K Imperato | Rheumatology | 19 Orchard St, Suite 1, Manhasset, NY 11030-1921 | |
| Peter J Lacorte | Optometry | 433 Plandome Rd, Manhasset, NY 11030-1942 | |
| Charles B Beasley | Psychiatry | 565 Plandome Rd, Suite 169, Manhasset, NY 11030-1945 | |
| Ilan J Safir | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Gary Goldberg | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Sarah K Girardi | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Dennis Lynch | Physician Assistant | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Felix L Badillo | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Anthony L Luciano | Internal Medicine | 450 Plandome Rd, Suite 2, Manhasset, NY 11030-1962 | |
| Find all physicians in zip 11030 | |||
| City | MANHASSET |
| Zip Code | 11030 |
| Specialty | NEPHROLOGY |
| City + Specialty | MANHASSET + NEPHROLOGY |
Please comment or provide details below to improve the information on Lionel U Mailloux.
| 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.