Academic Health Care Center | |
Northern Blvd Academic Health Care Center-ny Institute Of Technology Old Westbury NY 11568-8000 | |
(516) 686-1300 | |
(516) 686-7890 |
Full Name | Academic Health Care Center |
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Speciality | Family Medicine |
Location | Northern Blvd, Old Westbury, New York |
Authorized Official Name and Position | Phyllis M Pugliese (SUPERVISOR) |
Authorized Official Contact | 5166863751 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Academic Health Care Center Northern Blvd Academic Health Care Center-ny Institute Of Technology Old Westbury NY 11568-8000 Ph: (516) 686-1300 | Academic Health Care Center Northern Blvd Academic Health Care Center-ny Institute Of Technology Old Westbury NY 11568-8000 Ph: (516) 686-1300 |
NPI Number | 1821048612 |
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Provider Enumeration Date | 05/11/2006 |
Last Update Date | 07/03/2008 |
Medicare PECOS PAC ID | 3779496039 |
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Medicare Enrollment ID | O20040121000454 |
Identifier | Type | State | Issuer |
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1821048612 | NPI | - | NPPES |
W05883 | Other | NY | MEDICARE GROUP NUMBER |
1821048612 | Other | NY | GROUP NPI NUMBER |
Provider Name | Thomas Chan |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1932203312 PECOS PAC ID: 2062303761 Enrollment ID: I20040323000289 |
Provider Name | Jeffrey D Muller |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336212067 PECOS PAC ID: 4789676396 Enrollment ID: I20040402000028 |
Provider Name | Carlos Magalhaes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407068042 PECOS PAC ID: 1254221567 Enrollment ID: I20040408000769 |
Provider Name | Lisa M Hoffman |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1477666113 PECOS PAC ID: 3577552405 Enrollment ID: I20040506001779 |
Provider Name | Michelle L Farella-accurso |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417948324 PECOS PAC ID: 1052396199 Enrollment ID: I20040622001131 |
Provider Name | Andrea S Coladner |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1558455188 PECOS PAC ID: 0840263851 Enrollment ID: I20040818000058 |
Provider Name | Karen M Sheflin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225070063 PECOS PAC ID: 0547239964 Enrollment ID: I20040930001251 |
Provider Name | Michael J Terzella |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1467402784 PECOS PAC ID: 1951368745 Enrollment ID: I20041214000093 |
Provider Name | Reem Abu-sbaih |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1205902087 PECOS PAC ID: 9032167663 Enrollment ID: I20050110000976 |
Provider Name | Denise K Burns |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1275522401 PECOS PAC ID: 0941259477 Enrollment ID: I20050121000438 |
Provider Name | Nancy A Bono |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427047992 PECOS PAC ID: 6204885742 Enrollment ID: I20050121000449 |
Provider Name | John Tsialas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629008602 PECOS PAC ID: 7315997921 Enrollment ID: I20050131000745 |
Provider Name | Christine M Flynn |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972594885 PECOS PAC ID: 7618928037 Enrollment ID: I20050202001108 |
Provider Name | To Shan Li |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1447367685 PECOS PAC ID: 5092769471 Enrollment ID: I20050309000102 |
Provider Name | Sonia Rivera-martinez |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1902869555 PECOS PAC ID: 2567402563 Enrollment ID: I20050510000241 |
Provider Name | Theodore B Flaum |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720047830 PECOS PAC ID: 6709828742 Enrollment ID: I20050531000737 |
Provider Name | Deborah A Lardner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760458426 PECOS PAC ID: 0345279220 Enrollment ID: I20050810001259 |
Provider Name | Adena Nicole Leder |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1174648745 PECOS PAC ID: 7214961390 Enrollment ID: I20050920000148 |
Provider Name | Sharon L Koehler |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1437185428 PECOS PAC ID: 4385664721 Enrollment ID: I20051130000903 |
Provider Name | Patricia S Kooyman |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1841259918 PECOS PAC ID: 9133141658 Enrollment ID: I20051228000162 |
Provider Name | Eric T Greenberg |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538240114 PECOS PAC ID: 1658385653 Enrollment ID: I20060130000259 |
Provider Name | David H Tegay |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295713782 PECOS PAC ID: 0244242113 Enrollment ID: I20060613000248 |
Provider Name | Sheldon C Yao |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902828916 PECOS PAC ID: 9335144823 Enrollment ID: I20060915000059 |
Provider Name | Paul A Cohen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588751861 PECOS PAC ID: 4385644558 Enrollment ID: I20070111000530 |
Provider Name | Anu Raj |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1255512703 PECOS PAC ID: 1456441245 Enrollment ID: I20071217000644 |
Provider Name | Isabela Romao |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1639337686 PECOS PAC ID: 4385718022 Enrollment ID: I20080730000073 |
Provider Name | William Blazey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053405498 PECOS PAC ID: 5193892909 Enrollment ID: I20080920000046 |
Provider Name | Eleanor Yusupov |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891934923 PECOS PAC ID: 0042359796 Enrollment ID: I20091209000474 |
Provider Name | Paula M Cerqueira Ryo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154418044 PECOS PAC ID: 5496885832 Enrollment ID: I20100611000423 |
Provider Name | Bernadette A Riley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285870634 PECOS PAC ID: 8123150018 Enrollment ID: I20100712000528 |
Provider Name | Mervat A Mourad |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740435098 PECOS PAC ID: 7618162587 Enrollment ID: I20101117001014 |
Provider Name | Shari A Gessner |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548411473 PECOS PAC ID: 9234312489 Enrollment ID: I20110324000757 |
Provider Name | Patricia E Happel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043471378 PECOS PAC ID: 2860664463 Enrollment ID: I20111004000037 |
Provider Name | Donna-marie Mcmahon |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1245317999 PECOS PAC ID: 0143481499 Enrollment ID: I20120412000356 |
Provider Name | Kyle O Corbett |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861759631 PECOS PAC ID: 9032369871 Enrollment ID: I20121101000259 |
Provider Name | Mary Adar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225346067 PECOS PAC ID: 9234379413 Enrollment ID: I20130711000526 |
Provider Name | John W Comeau |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104836766 PECOS PAC ID: 1153372412 Enrollment ID: I20140207001021 |
Provider Name | Jordan A Keys |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1083900708 PECOS PAC ID: 6901024348 Enrollment ID: I20140827001921 |
Provider Name | Matthew B Heller |
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Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1841578689 PECOS PAC ID: 4587986849 Enrollment ID: I20141124001150 |
Provider Name | Hallie Y Zwibel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689960049 PECOS PAC ID: 1557683992 Enrollment ID: I20141215000052 |
Provider Name | Tara Christine Barcia |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962762062 PECOS PAC ID: 0648584235 Enrollment ID: I20150727001067 |
Provider Name | Philip A Noto |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1528384807 PECOS PAC ID: 0547485682 Enrollment ID: I20151109000885 |
Provider Name | Amber M Sousa |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1285093252 PECOS PAC ID: 2163711425 Enrollment ID: I20160510002166 |
Provider Name | Andrew J Lanzone |
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Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1972851293 PECOS PAC ID: 4284912841 Enrollment ID: I20161102000549 |
Provider Name | Liat Jarkon |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1205900669 PECOS PAC ID: 7012294499 Enrollment ID: I20170512001063 |
Provider Name | Rita Eng |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093244634 PECOS PAC ID: 7618246604 Enrollment ID: I20170707000021 |
Provider Name | Catherine M Tolvo |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1790070274 PECOS PAC ID: 1355587858 Enrollment ID: I20181018000760 |
Provider Name | Cathy-anne Maria Charles |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790120822 PECOS PAC ID: 7911297585 Enrollment ID: I20181107000423 |
Provider Name | Nancy A Valentine |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013153428 PECOS PAC ID: 1759701741 Enrollment ID: I20201013001439 |
Provider Name | Diane Saulle |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1245401942 PECOS PAC ID: 4981098647 Enrollment ID: I20220223002567 |
Provider Name | Michael J Foti |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871053330 PECOS PAC ID: 1456733120 Enrollment ID: I20230109000164 |
Provider Name | Priya Bhushan |
---|---|
Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1275153751 PECOS PAC ID: 3678921996 Enrollment ID: I20231128000976 |
Dsr Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Coachmans Court, Old Westbury, NY 11568 Phone: 516-524-4869 | |
East Williston Ufsd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Bacon Rd, Old Westbury, NY 11568 Phone: 516-333-5690 |