Dr Manuel Vazquez-senior, MD | |
1 Hospital Dr, Massena, NY 13662-1056 | |
(315) 764-1711 | |
Not Available |
Full Name | Dr Manuel Vazquez-senior |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 42 Years |
Location | 1 Hospital Dr, Massena, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134190481 | NPI | - | NPPES |
02097794 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 173889 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Endoscopy Center Of Long Island Llc | 2668370123 | 19 |
Entity Name | Upstate Anesthesia Services, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629272141 PECOS PAC ID: 0840383857 Enrollment ID: O20070907000237 |
Entity Name | Endoscopy Center Of Long Island Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770718009 PECOS PAC ID: 2668370123 Enrollment ID: O20090416000311 |
Entity Name | Sg Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750608238 PECOS PAC ID: 7214067545 Enrollment ID: O20100614000489 |
Entity Name | Queens Endoscopy Asc Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1780935528 PECOS PAC ID: 0941447023 Enrollment ID: O20130509000029 |
Entity Name | Advantagecare Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336578772 PECOS PAC ID: 2365735008 Enrollment ID: O20160719000446 |
Entity Name | Liberty Endoscopy Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1689029316 PECOS PAC ID: 8426338245 Enrollment ID: O20161213000174 |
Entity Name | North Shore - Lij Anesthesiology, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498 |
Mailing Address | Practice Location Address |
---|---|
Dr Manuel Vazquez-senior, MD 202 Taughannock Blvd, Po Box 366, Ithaca, NY 14850-3328 Ph: (607) 277-4035 | Dr Manuel Vazquez-senior, MD 1 Hospital Dr, Massena, NY 13662-1056 Ph: (315) 764-1711 |