| Department Of Neurology | |
|
710 W 168th St New York NY 10032-3726 | |
| (212) 342-4432 | |
| (212) 305-4536 |
| Full Name | Department Of Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 710 W 168th St, New York, New York |
| Authorized Official Name and Position | Richard Mayeux (NEUROLOGY CHAIRMAN) |
| Authorized Official Contact | 2123052391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Neurology 710 W 168th St New York NY 10032-3726 Ph: (212) 342-4432 | Department Of Neurology 710 W 168th St New York NY 10032-3726 Ph: (212) 342-4432 |
| NPI Number | 1306899455 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 08/20/2015 |
| Medicare PECOS PAC ID | 2769374644 |
|---|---|
| Medicare Enrollment ID | O20040325001698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306899455 | NPI | - | NPPES |
| 00895267 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (New York) | Primary |
| Provider Name | Linda D Lewis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942392592 PECOS PAC ID: 8820994049 Enrollment ID: I20031209000780 |
| Provider Name | Robert H Fryer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821006636 PECOS PAC ID: 9537051750 Enrollment ID: I20040325000070 |
| Provider Name | Randolph Marshall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588753032 PECOS PAC ID: 2961494497 Enrollment ID: I20040402000283 |
| Provider Name | Andrew B Lassman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336110378 PECOS PAC ID: 5597759886 Enrollment ID: I20040410000010 |
| Provider Name | Lori Alice Cogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023059300 PECOS PAC ID: 5496749079 Enrollment ID: I20040414001487 |
| Provider Name | Elise Caccappolo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942223946 PECOS PAC ID: 8820086473 Enrollment ID: I20040505001096 |
| Provider Name | Michael D Daras |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972604700 PECOS PAC ID: 6406845841 Enrollment ID: I20040510001530 |
| Provider Name | Hiroshi Mitsumoto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053480384 PECOS PAC ID: 4284615782 Enrollment ID: I20040529000071 |
| Provider Name | Michael E Goldberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215034673 PECOS PAC ID: 0941273379 Enrollment ID: I20040814000175 |
| Provider Name | Margaret R Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568543247 PECOS PAC ID: 9234107061 Enrollment ID: I20040920001071 |
| Provider Name | Melodie Winawer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538230222 PECOS PAC ID: 3476501677 Enrollment ID: I20050104001035 |
| Provider Name | Joshua Cappell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043224009 PECOS PAC ID: 3577515642 Enrollment ID: I20050216000904 |
| Provider Name | Catherine Schevon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295836021 PECOS PAC ID: 0941253215 Enrollment ID: I20050226000050 |
| Provider Name | Jinsy Andrews |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710917232 PECOS PAC ID: 1456388669 Enrollment ID: I20050720000005 |
| Provider Name | Arthur Michael Mandel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780736702 PECOS PAC ID: 8325076763 Enrollment ID: I20050727001235 |
| Provider Name | Paul F Kent |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043268154 PECOS PAC ID: 8628082534 Enrollment ID: I20060309000609 |
| Provider Name | Louis Weimer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356357404 PECOS PAC ID: 0244247153 Enrollment ID: I20060317000505 |
| Provider Name | Cynthia D Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447354063 PECOS PAC ID: 3779591516 Enrollment ID: I20060405000234 |
| Provider Name | Olajide Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801905724 PECOS PAC ID: 6103920806 Enrollment ID: I20070407000022 |
| Provider Name | John C Brust |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841309770 PECOS PAC ID: 7618072430 Enrollment ID: I20070423000389 |
| Provider Name | Joshua Willey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073667101 PECOS PAC ID: 5092814855 Enrollment ID: I20070620000475 |
| Provider Name | Jan Claassen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073649497 PECOS PAC ID: 6608962212 Enrollment ID: I20071012000169 |
| Provider Name | Marykathryn Pavol |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346203551 PECOS PAC ID: 1557451127 Enrollment ID: I20071219000597 |
| Provider Name | Roy N Alcalay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457487167 PECOS PAC ID: 7315020344 Enrollment ID: I20080213000498 |
| Provider Name | Oren A Levy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275758765 PECOS PAC ID: 0042393084 Enrollment ID: I20080213000590 |
| Provider Name | Claudia A Chiriboga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972537967 PECOS PAC ID: 4880779651 Enrollment ID: I20080304000863 |
| Provider Name | James M Noble |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003994120 PECOS PAC ID: 4789760646 Enrollment ID: I20080318000757 |
| Provider Name | Neil A Shneider |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477676161 PECOS PAC ID: 7315025368 Enrollment ID: I20080416000522 |
| Provider Name | Thomas H Brannagan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245327337 PECOS PAC ID: 5597843011 Enrollment ID: I20080424000393 |
| Provider Name | Rishi Malhotra |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154509933 PECOS PAC ID: 6901975002 Enrollment ID: I20080515000202 |
| Provider Name | Claire S Riley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558537555 PECOS PAC ID: 3476622093 Enrollment ID: I20080521000704 |
| Provider Name | Michio Hirano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508873969 PECOS PAC ID: 0840364469 Enrollment ID: I20080730000810 |
| Provider Name | Danielle K Mcbrian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174725873 PECOS PAC ID: 9032286075 Enrollment ID: I20080917000488 |
| Provider Name | Laura Lennihan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285626168 PECOS PAC ID: 1456429125 Enrollment ID: I20081008000079 |
| Provider Name | Anil Mendiratta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669534178 PECOS PAC ID: 8527136803 Enrollment ID: I20081014000629 |
| Provider Name | Barbara Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003098021 PECOS PAC ID: 0042226599 Enrollment ID: I20090416000436 |
| Provider Name | Jay E Selman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568414746 PECOS PAC ID: 0547318321 Enrollment ID: I20090505000311 |
| Provider Name | Igor Zilberman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245498195 PECOS PAC ID: 6800940222 Enrollment ID: I20090820000161 |
| Provider Name | Wendy Silver |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760619142 PECOS PAC ID: 7315092962 Enrollment ID: I20090902000598 |
| Provider Name | Carolyn B Britton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376605113 PECOS PAC ID: 6507902012 Enrollment ID: I20091013000644 |
| Provider Name | Hyunmi Choi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336240175 PECOS PAC ID: 2062556384 Enrollment ID: I20100224000253 |
| Provider Name | Karen L Bell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164450318 PECOS PAC ID: 5799800686 Enrollment ID: I20100915001028 |
| Provider Name | Seth L Pullman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083778559 PECOS PAC ID: 0840315743 Enrollment ID: I20100915001088 |
| Provider Name | Edward D Huey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306008982 PECOS PAC ID: 4880719780 Enrollment ID: I20100915001160 |
| Provider Name | Karen Marder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710057369 PECOS PAC ID: 4082739842 Enrollment ID: I20100916000677 |
| Provider Name | Lawrence S Honig |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770653230 PECOS PAC ID: 0941325658 Enrollment ID: I20100918000149 |
| Provider Name | Alison M Pack |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275634008 PECOS PAC ID: 1850416470 Enrollment ID: I20100920000083 |
| Provider Name | Mitchell S Elkind |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801989934 PECOS PAC ID: 9335264845 Enrollment ID: I20100921000062 |
| Provider Name | James K Roberts |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326115999 PECOS PAC ID: 4688626328 Enrollment ID: I20101005000202 |
| Provider Name | Marla J Hamberger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396808200 PECOS PAC ID: 6103018213 Enrollment ID: I20101007000959 |
| Provider Name | Carl W Bazil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891706149 PECOS PAC ID: 6709078728 Enrollment ID: I20101008001068 |
| Provider Name | Cheryl H Waters |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356395446 PECOS PAC ID: 5890988943 Enrollment ID: I20101021000017 |
| Provider Name | Stanley Fahn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205903002 PECOS PAC ID: 7315130465 Enrollment ID: I20101021000041 |
| Provider Name | Jay P Mohr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760538508 PECOS PAC ID: 6800084302 Enrollment ID: I20101228000764 |
| Provider Name | Kenny Chantasi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427216175 PECOS PAC ID: 6305035064 Enrollment ID: I20110111000607 |
| Provider Name | Rachel Richins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568786168 PECOS PAC ID: 2668651472 Enrollment ID: I20110126000395 |
| Provider Name | Nan R Salamon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487627527 PECOS PAC ID: 9335329630 Enrollment ID: I20110203000401 |
| Provider Name | James Riviello |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528087210 PECOS PAC ID: 1759337330 Enrollment ID: I20110725000588 |
| Provider Name | Tomoko Kitago |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972764504 PECOS PAC ID: 8921279126 Enrollment ID: I20110920000382 |
| Provider Name | Susan Kreiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578844684 PECOS PAC ID: 1759553407 Enrollment ID: I20111003000005 |
| Provider Name | Jason Diamond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073704458 PECOS PAC ID: 7911170675 Enrollment ID: I20111026000140 |
| Provider Name | Regina Youngman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275825317 PECOS PAC ID: 9436322005 Enrollment ID: I20111026000339 |
| Provider Name | Esther Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225276942 PECOS PAC ID: 7719150036 Enrollment ID: I20111102000573 |
| Provider Name | Shraddha Srinivasan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235317306 PECOS PAC ID: 1153595251 Enrollment ID: I20111130000385 |
| Provider Name | Aaron Lord |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477759058 PECOS PAC ID: 8123292877 Enrollment ID: I20120306000344 |
| Provider Name | Fabio Iwamoto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053623934 PECOS PAC ID: 3779742036 Enrollment ID: I20120307000091 |
| Provider Name | Cigdem I Akman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487600953 PECOS PAC ID: 8426112780 Enrollment ID: I20120309000111 |
| Provider Name | Richard Mayeux |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750479184 PECOS PAC ID: 9931379997 Enrollment ID: I20120312000152 |
| Provider Name | Steven L Grenell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831115872 PECOS PAC ID: 2163681941 Enrollment ID: I20120314000576 |
| Provider Name | Christina Ulane |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114186731 PECOS PAC ID: 0840450961 Enrollment ID: I20120328000252 |
| Provider Name | Sheng-han Kuo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427200195 PECOS PAC ID: 9537329479 Enrollment ID: I20120329000598 |
| Provider Name | Hiral Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639338262 PECOS PAC ID: 6103086079 Enrollment ID: I20120330000046 |
| Provider Name | Francine Armentano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063649473 PECOS PAC ID: 6800072018 Enrollment ID: I20120420000492 |
| Provider Name | Sachin Agarwal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902059074 PECOS PAC ID: 8820250608 Enrollment ID: I20120425000149 |
| Provider Name | Denise Chou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134381148 PECOS PAC ID: 3375714595 Enrollment ID: I20120515000406 |
| Provider Name | Nicole Holuba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932424108 PECOS PAC ID: 0143483297 Enrollment ID: I20120530000060 |
| Provider Name | Comana Cioroiu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952543647 PECOS PAC ID: 3577727411 Enrollment ID: I20120606000000 |
| Provider Name | Mary R Welch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356592406 PECOS PAC ID: 1456516632 Enrollment ID: I20120713000552 |
| Provider Name | Jason Krellman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730465063 PECOS PAC ID: 3577729581 Enrollment ID: I20120719000092 |
| Provider Name | Wendy S Vargas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154581874 PECOS PAC ID: 5597921957 Enrollment ID: I20120730000642 |
| Provider Name | Jacqueline Montes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851679971 PECOS PAC ID: 7810144052 Enrollment ID: I20120823000495 |
| Provider Name | Beth C Mellors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275880080 PECOS PAC ID: 6204085236 Enrollment ID: I20121005000419 |
| Provider Name | Elena M Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568586444 PECOS PAC ID: 4688823339 Enrollment ID: I20121012000604 |
| Provider Name | Jeffrey R Cole |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982828836 PECOS PAC ID: 7113068065 Enrollment ID: I20121016000478 |
| Provider Name | Lisa Bateman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639184161 PECOS PAC ID: 0143224089 Enrollment ID: I20121116000180 |
| Provider Name | Barry Czeisler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134379654 PECOS PAC ID: 9739324781 Enrollment ID: I20130323000097 |
| Provider Name | Stephanie Assuras |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184938821 PECOS PAC ID: 4981840253 Enrollment ID: I20130412000033 |
| Provider Name | Michelle Bell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356584429 PECOS PAC ID: 2961641519 Enrollment ID: I20130612000187 |
| Provider Name | Andrew Westwood |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1942459680 PECOS PAC ID: 2062651409 Enrollment ID: I20130617000137 |
| Provider Name | Natalie Rae Weathered |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528213667 PECOS PAC ID: 7719138981 Enrollment ID: I20130705000111 |
| Provider Name | Un Kang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194876177 PECOS PAC ID: 0244405132 Enrollment ID: I20130724000719 |
| Provider Name | Jose Dtm Gutierrez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003089665 PECOS PAC ID: 9234370636 Enrollment ID: I20130729000028 |
| Provider Name | Cynthia K Dendrinos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457789034 PECOS PAC ID: 3476781287 Enrollment ID: I20140123001968 |
| Provider Name | William Kreisl |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154661494 PECOS PAC ID: 3577789171 Enrollment ID: I20140716001841 |
| Provider Name | David Roh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811214372 PECOS PAC ID: 8820214455 Enrollment ID: I20140717000118 |
| Provider Name | Marianna Yugrakh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265758726 PECOS PAC ID: 5395961486 Enrollment ID: I20140725001208 |
| Provider Name | Victoria Leavitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235542051 PECOS PAC ID: 5799901641 Enrollment ID: I20140729002421 |
| Provider Name | Soojin Park |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154355956 PECOS PAC ID: 1951409192 Enrollment ID: I20140813001701 |
| Provider Name | Tiffani L Mcdonough |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972764819 PECOS PAC ID: 0143447185 Enrollment ID: I20140814001362 |
| Provider Name | Teri Kreisl |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336449313 PECOS PAC ID: 0244459279 Enrollment ID: I20140924000164 |
| Provider Name | Charles C Esenwa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245556901 PECOS PAC ID: 3476773250 Enrollment ID: I20140929002105 |
| Provider Name | Sylvie Goldman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003217084 PECOS PAC ID: 3870815673 Enrollment ID: I20141205001416 |
| Provider Name | Giti Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912312414 PECOS PAC ID: 6800119892 Enrollment ID: I20141224000023 |
| Provider Name | Jessica Oppenheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881982593 PECOS PAC ID: 8123342011 Enrollment ID: I20150126000133 |
| Provider Name | Shinta Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548658453 PECOS PAC ID: 3274858246 Enrollment ID: I20150216000021 |
| Provider Name | Shawanda M Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639587082 PECOS PAC ID: 0547589111 Enrollment ID: I20150501001825 |
| Provider Name | Inna Kleyman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912227760 PECOS PAC ID: 4284954173 Enrollment ID: I20150515001341 |
| Provider Name | Arezou Heshmati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043434244 PECOS PAC ID: 8426102997 Enrollment ID: I20150518000366 |
| Provider Name | Ali Mahta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437387990 PECOS PAC ID: 8325368152 Enrollment ID: I20150519001925 |
| Provider Name | Michael Reznik |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558655035 PECOS PAC ID: 3971824913 Enrollment ID: I20150603000982 |
| Provider Name | Kiran Thakur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982861167 PECOS PAC ID: 0840451977 Enrollment ID: I20150702000173 |
| Provider Name | Elie E Dancour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275824252 PECOS PAC ID: 3577876705 Enrollment ID: I20150717000326 |
| Provider Name | Marnelli Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164848636 PECOS PAC ID: 7214240340 Enrollment ID: I20150720000908 |
| Provider Name | Lauren R Schaff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952691750 PECOS PAC ID: 8426362187 Enrollment ID: I20150810000178 |
| Provider Name | Manisha Holmes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861719072 PECOS PAC ID: 0547578916 Enrollment ID: I20151005001215 |
| Provider Name | Nora Vanegas Arroyave |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790009686 PECOS PAC ID: 1759681521 Enrollment ID: I20151201000102 |
| Provider Name | Regine Marseille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952786915 PECOS PAC ID: 3375843105 Enrollment ID: I20151201002159 |
| Provider Name | Matthew Harms |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881795433 PECOS PAC ID: 7719051358 Enrollment ID: I20151215002078 |
| Provider Name | Codi-ann Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346611340 PECOS PAC ID: 6901108950 Enrollment ID: I20160107000896 |
| Provider Name | Koli Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558782771 PECOS PAC ID: 2365745783 Enrollment ID: I20160119002011 |
| Provider Name | Libby Levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659788990 PECOS PAC ID: 4284938689 Enrollment ID: I20160204002021 |
| Provider Name | Louisa Ghiberti-toledo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598138844 PECOS PAC ID: 7618272105 Enrollment ID: I20160222000691 |
| Provider Name | Sigrid C Gabler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073855375 PECOS PAC ID: 8628373016 Enrollment ID: I20160223001288 |
| Provider Name | Sara Rostanski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881912004 PECOS PAC ID: 9133424146 Enrollment ID: I20160229000957 |
| Provider Name | Rebecca G Straus Farber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649414756 PECOS PAC ID: 0042502585 Enrollment ID: I20160701001415 |
| Provider Name | Alexandra Reynolds |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689932493 PECOS PAC ID: 6204129091 Enrollment ID: I20160802000464 |
| Provider Name | Vivian N Chin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184918674 PECOS PAC ID: 7416241237 Enrollment ID: I20160802001668 |
| Provider Name | Daniel Lowenstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720309040 PECOS PAC ID: 4880988476 Enrollment ID: I20160804000665 |
| Provider Name | Laura Donovan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760742761 PECOS PAC ID: 6608160825 Enrollment ID: I20160811000857 |
| Provider Name | Andrew Daniel Martin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386900827 PECOS PAC ID: 7315231271 Enrollment ID: I20160816000802 |
| Provider Name | Alison May |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144546730 PECOS PAC ID: 2860787702 Enrollment ID: I20160817001136 |
| Provider Name | Jennifer M Bain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942599154 PECOS PAC ID: 1355636341 Enrollment ID: I20160830002273 |
| Provider Name | Christine Y. Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023374790 PECOS PAC ID: 1153619127 Enrollment ID: I20161006000328 |
| Provider Name | Tristan T Sands |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013234798 PECOS PAC ID: 8921239195 Enrollment ID: I20161205000086 |
| Provider Name | Julie Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841643376 PECOS PAC ID: 6608157201 Enrollment ID: I20161219001768 |
| Provider Name | Philip Dejager |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255382453 PECOS PAC ID: 4688858129 Enrollment ID: I20170403002186 |
| Provider Name | Danielle Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235588575 PECOS PAC ID: 6608153028 Enrollment ID: I20170511001562 |
| Provider Name | Jude Fleming-vaghjiani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104244532 PECOS PAC ID: 7517235724 Enrollment ID: I20170612002614 |
| Provider Name | Eliza Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093081663 PECOS PAC ID: 2860760022 Enrollment ID: I20170613001346 |
| Provider Name | Kara Melmed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013354745 PECOS PAC ID: 6406124296 Enrollment ID: I20170620001896 |
| Provider Name | Andrew Bauerschmidt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285079095 PECOS PAC ID: 6002184892 Enrollment ID: I20170620002057 |
| Provider Name | Jennifer Gelinas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932557246 PECOS PAC ID: 1951679505 Enrollment ID: I20170622002166 |
| Provider Name | William Harrison Roth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124460803 PECOS PAC ID: 8729357504 Enrollment ID: I20170711001140 |
| Provider Name | Linn Katus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720379969 PECOS PAC ID: 8628341450 Enrollment ID: I20170830001367 |
| Provider Name | Alyssa Bu Macchiaroli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043759418 PECOS PAC ID: 9234485038 Enrollment ID: I20180710000807 |
Bimc Fpp Dept Of Psych Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Nathan D. Perlman Place, 16th Street At 1st Avenue, New York, NY 10003 Phone: 212-420-4714 | |
Joan Poelvoorde Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 W 34th St, Penthouse, New York, NY 10001 Phone: 646-473-0138 Fax: 646-473-0138 | |
Laurie D Gilkes Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 330 E 79th St, Suite 1g, New York, NY 10075 Phone: 212-737-0560 Fax: 212-737-0560 | |
National Federation For Autism Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 Fort Washington Ave, First Floor, New York, NY 10033 Phone: 917-783-2431 | |
Mary E Genkins Dsw Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 430 E 63rd St, Apt 12l, New York, NY 10065 Phone: 212-838-9257 Fax: 212-207-6615 | |
Rethink Autism Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 W 21st Street, Suite 403, New York, NY 10010 Phone: 917-658-6313 | |
The Heart Collaboration Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 5th Ave, Suite 900, New York, NY 10011 Phone: 212-947-7111 |