Amine F Gebremichael, MD | |
1299 Route 9, Gansevoort, NY 12831-1560 | |
(518) 761-6961 | |
(518) 761-1006 |
Full Name | Amine F Gebremichael |
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Gender | Male |
Speciality | Pediatrics |
Location | 1299 Route 9, Gansevoort, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629394622 | NPI | - | NPPES |
03686362 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 272530 (New York) | Primary |
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
---|---|
Amine F Gebremichael, MD 9 Carey Rd, Queensbury, NY 12804-7880 Ph: (518) 761-0300 | Amine F Gebremichael, MD 1299 Route 9, Gansevoort, NY 12831-1560 Ph: (518) 761-6961 |
Emanuel Cirenza, Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Mountain Ledge, Gansevoort, NY 12831 Phone: 518-584-0355 Fax: 518-583-7665 | |
Laura Lecours, Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Mountain Ledge, Gansevoort, NY 12831 Phone: 518-584-0355 Fax: 518-583-7665 | |
Stephanie E Jorgensen, MD FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Mountain Ledge, Gansevoort, NY 12831 Phone: 518-584-0355 Fax: 518-583-7665 | |
Anne Marthy-noonan, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6 Mountain Ledge, Gansevoort, NY 12831 Phone: 518-584-0355 Fax: 518-583-7665 | |
Charles Richman, Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Mountain Ledge, Gansevoort, NY 12831 Phone: 518-584-0355 Fax: 518-583-7665 | |
Dr. Claudia Farrell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Mountain Ledge, Gansevoort, NY 12831 Phone: 518-584-0355 Fax: 518-583-7665 |