| Memorial Neurology Group | |
|
1275 York Ave New York NY 10021-6007 | |
| (646) 227-3813 | |
| Not Available |
| Full Name | Memorial Neurology Group |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1275 York Ave, New York, New York |
| Authorized Official Name and Position | Salvatore M Andreozzi (MANAGER) |
| Authorized Official Contact | 6462273751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Neurology Group 633 3rd Ave Box 3 New York NY 10017-6706 Ph: () - | Memorial Neurology Group 1275 York Ave New York NY 10021-6007 Ph: (646) 227-3813 |
| NPI Number | 1538130190 |
|---|---|
| Provider Enumeration Date | 01/31/2006 |
| Last Update Date | 04/22/2015 |
| Medicare PECOS PAC ID | 4688563000 |
|---|---|
| Medicare Enrollment ID | O20040313000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538130190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | (* (Not Available)) | Secondary |
| Provider Name | Jay R Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609842731 PECOS PAC ID: 4385535467 Enrollment ID: I20040320000583 |
| Provider Name | Natalie A Moryl |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1326019365 PECOS PAC ID: 7214829100 Enrollment ID: I20040325001761 |
| Provider Name | Louis P Voigt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770553299 PECOS PAC ID: 4385536960 Enrollment ID: I20040329000009 |
| Provider Name | Sonia K Sandhu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679660765 PECOS PAC ID: 5092607366 Enrollment ID: I20040330000270 |
| Provider Name | Christian M Custodio |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679544613 PECOS PAC ID: 9537151139 Enrollment ID: I20040402000003 |
| Provider Name | Adilia Hormigo |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1427029461 PECOS PAC ID: 0840284139 Enrollment ID: I20040410000034 |
| Provider Name | Craig P Nolan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154392199 PECOS PAC ID: 1759379290 Enrollment ID: I20040504000750 |
| Provider Name | Xi Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356367205 PECOS PAC ID: 8628038247 Enrollment ID: I20041018000504 |
| Provider Name | Judith E Nelson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1225057342 PECOS PAC ID: 1355304635 Enrollment ID: I20041108000763 |
| Provider Name | Barbara C Egan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376514307 PECOS PAC ID: 0042266991 Enrollment ID: I20050324000104 |
| Provider Name | Alison A Gilgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497825921 PECOS PAC ID: 4880610690 Enrollment ID: I20051020000951 |
| Provider Name | Igor T Gavrilovic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518938554 PECOS PAC ID: 1254350341 Enrollment ID: I20051117000764 |
| Provider Name | Yvona L Griffo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952373284 PECOS PAC ID: 2769405604 Enrollment ID: I20060106000291 |
| Provider Name | Mary A Schoen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982776340 PECOS PAC ID: 2668488420 Enrollment ID: I20060302000528 |
| Provider Name | Edward K Avila |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265440820 PECOS PAC ID: 6204831621 Enrollment ID: I20060918000528 |
| Provider Name | Antonio Marcilio Padula Omuro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912175134 PECOS PAC ID: 7113003914 Enrollment ID: I20080319000329 |
| Provider Name | Ingo K Mellinghoff |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1114030707 PECOS PAC ID: 7618053422 Enrollment ID: I20080319000359 |
| Provider Name | Robin Rawlins-duell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518188762 PECOS PAC ID: 3870671787 Enrollment ID: I20080417000375 |
| Provider Name | Alan C Carver |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245200815 PECOS PAC ID: 2264502244 Enrollment ID: I20080603000174 |
| Provider Name | Douglas J Koo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801088380 PECOS PAC ID: 4981770005 Enrollment ID: I20080913000014 |
| Provider Name | Chhavi B Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265637011 PECOS PAC ID: 0143396267 Enrollment ID: I20080913000027 |
| Provider Name | Richard J Lin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952598898 PECOS PAC ID: 2365592789 Enrollment ID: I20090605000324 |
| Provider Name | Thomas J Kaley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578721858 PECOS PAC ID: 4183778913 Enrollment ID: I20090813000431 |
| Provider Name | Andreana Kwon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194961003 PECOS PAC ID: 8820144702 Enrollment ID: I20090917000303 |
| Provider Name | Elayna O Rubens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578723268 PECOS PAC ID: 9931246642 Enrollment ID: I20091029000441 |
| Provider Name | Stacy M Stabler |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740238369 PECOS PAC ID: 0547308686 Enrollment ID: I20091111000246 |
| Provider Name | Jibran Majeed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255560215 PECOS PAC ID: 1951445998 Enrollment ID: I20100215000504 |
| Provider Name | Craig D Blinderman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1659388494 PECOS PAC ID: 4385647957 Enrollment ID: I20100326000652 |
| Provider Name | Lisa M Deangelis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972574903 PECOS PAC ID: 0345379814 Enrollment ID: I20100520000738 |
| Provider Name | Denise D Correa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245201276 PECOS PAC ID: 2961531439 Enrollment ID: I20100520000771 |
| Provider Name | Ronald G Blasberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922079680 PECOS PAC ID: 0840329314 Enrollment ID: I20100520000802 |
| Provider Name | Robert Sidlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720182207 PECOS PAC ID: 2567644685 Enrollment ID: I20110310000963 |
| Provider Name | Tara E Lauria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427248087 PECOS PAC ID: 3971786542 Enrollment ID: I20110321000482 |
| Provider Name | Tabitha N Goring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477641728 PECOS PAC ID: 8820061930 Enrollment ID: I20110324000078 |
| Provider Name | Elena Pentsova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932247160 PECOS PAC ID: 8729256581 Enrollment ID: I20110721000347 |
| Provider Name | Christian Grommes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720291727 PECOS PAC ID: 1052484698 Enrollment ID: I20110728000470 |
| Provider Name | Andrew S Epstein |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1013127919 PECOS PAC ID: 5799931051 Enrollment ID: I20120802000364 |
| Provider Name | Lisa M Ruppert |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295994531 PECOS PAC ID: 3779761069 Enrollment ID: I20120803000478 |
| Provider Name | Katarzyna Ibanez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205009198 PECOS PAC ID: 9739335993 Enrollment ID: I20120803000749 |
| Provider Name | Efstathia Tzatha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952568339 PECOS PAC ID: 6204088826 Enrollment ID: I20121206000098 |
| Provider Name | Jesuel Padro-guzman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003005372 PECOS PAC ID: 4082803564 Enrollment ID: I20130719000055 |
| Provider Name | Magalie Bruneus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952537581 PECOS PAC ID: 3678716727 Enrollment ID: I20130821000636 |
| Provider Name | Linda M Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669810313 PECOS PAC ID: 6002059441 Enrollment ID: I20130904000004 |
| Provider Name | Eli L Diamond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477721140 PECOS PAC ID: 4082858881 Enrollment ID: I20130918000016 |
| Provider Name | Neena Kapoor Hintzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629223144 PECOS PAC ID: 0244467322 Enrollment ID: I20131217000648 |
| Provider Name | Catherine C Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255529707 PECOS PAC ID: 4486886561 Enrollment ID: I20140404000890 |
| Provider Name | Dana S Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457626962 PECOS PAC ID: 8022234871 Enrollment ID: I20140731000049 |
| Provider Name | Mariza Daras |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811158264 PECOS PAC ID: 8820214570 Enrollment ID: I20140801000730 |
| Provider Name | Grigory Syrkin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306163829 PECOS PAC ID: 6002139219 Enrollment ID: I20141219000339 |
| Provider Name | Marcel A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366842288 PECOS PAC ID: 8022332725 Enrollment ID: I20150129001651 |
| Provider Name | Edyta Koczela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225370745 PECOS PAC ID: 8022336940 Enrollment ID: I20150406000543 |
| Provider Name | Marisol B Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720476302 PECOS PAC ID: 9133448814 Enrollment ID: I20150430001230 |
| Provider Name | Lauren R Schaff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952691750 PECOS PAC ID: 8426362187 Enrollment ID: I20150810000178 |
| Provider Name | Adrienne A Boire |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740416973 PECOS PAC ID: 2466767181 Enrollment ID: I20150810002461 |
| Provider Name | Suzanne Gutierrez Teissonniere |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114116217 PECOS PAC ID: 8729393186 Enrollment ID: I20150813010610 |
| Provider Name | Anjali V Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699036376 PECOS PAC ID: 9931415114 Enrollment ID: I20150902002081 |
| Provider Name | Bianca D Santomasso |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215164884 PECOS PAC ID: 5395051460 Enrollment ID: I20150903001979 |
| Provider Name | Richard Edmund Phillips |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689803975 PECOS PAC ID: 3072774132 Enrollment ID: I20150908002051 |
| Provider Name | Jacqueline B Stone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427285741 PECOS PAC ID: 5294042461 Enrollment ID: I20150921001759 |
| Provider Name | Jason P Meadows |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1326335217 PECOS PAC ID: 2466761077 Enrollment ID: I20151022000638 |
| Provider Name | Danielle T Friedman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1366763120 PECOS PAC ID: 3274750047 Enrollment ID: I20151130000283 |
| Provider Name | Theresa A Gillis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1396725057 PECOS PAC ID: 0143111773 Enrollment ID: I20160112000489 |
| Provider Name | Reggie T Saldivar |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1871899393 PECOS PAC ID: 1951541960 Enrollment ID: I20160311001600 |
| Provider Name | Carrie Mancini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982081261 PECOS PAC ID: 1557668092 Enrollment ID: I20160328001502 |
| Provider Name | Mimma Errante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063885275 PECOS PAC ID: 8426357815 Enrollment ID: I20160506000896 |
| Provider Name | Andrew L Lin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417278896 PECOS PAC ID: 0446546162 Enrollment ID: I20160907000773 |
| Provider Name | Jyoti Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609119908 PECOS PAC ID: 8820384936 Enrollment ID: I20160915000808 |
| Provider Name | Samantha Rozario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679928402 PECOS PAC ID: 2567758618 Enrollment ID: I20160915001889 |
| Provider Name | Anna F Piotrowski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700104197 PECOS PAC ID: 8123255981 Enrollment ID: I20161017001886 |
| Provider Name | Alanna Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245524628 PECOS PAC ID: 9537448592 Enrollment ID: I20161115000096 |
| Provider Name | Kelly S Haviland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053551051 PECOS PAC ID: 4284913849 Enrollment ID: I20161122002150 |
| Provider Name | Andrea J Dolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144610528 PECOS PAC ID: 2769792381 Enrollment ID: I20161219001472 |
| Provider Name | Kimberly H Chow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073804175 PECOS PAC ID: 5496036584 Enrollment ID: I20170104000284 |
| Provider Name | Jessica I Goldberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255733960 PECOS PAC ID: 5496038523 Enrollment ID: I20170215000485 |
| Provider Name | Daniel Stok |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518293398 PECOS PAC ID: 9335422484 Enrollment ID: I20170215001302 |
| Provider Name | Kara H Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134596216 PECOS PAC ID: 1355624420 Enrollment ID: I20170215002104 |
| Provider Name | Renee E Wisniewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699217141 PECOS PAC ID: 1355624453 Enrollment ID: I20170216000264 |
| Provider Name | Maryanne C Canavan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588952972 PECOS PAC ID: 6608159710 Enrollment ID: I20170216000367 |
| Provider Name | Jean Asonye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639410285 PECOS PAC ID: 0941396162 Enrollment ID: I20170216001312 |
| Provider Name | Tammy Son |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659533156 PECOS PAC ID: 4880977818 Enrollment ID: I20170216001792 |
| Provider Name | Rachel M Chiulli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871940205 PECOS PAC ID: 8022392661 Enrollment ID: I20170228000688 |
| Provider Name | Shila Pandey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730630336 PECOS PAC ID: 0941584023 Enrollment ID: I20170309001576 |
| Provider Name | Aya M Haggiagi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366716300 PECOS PAC ID: 6204109143 Enrollment ID: I20170829001274 |
| Provider Name | Alexandra M Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497040091 PECOS PAC ID: 5395043418 Enrollment ID: I20170901000312 |
| Provider Name | Synphen H Wu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831489491 PECOS PAC ID: 8123273794 Enrollment ID: I20170901001340 |
| Provider Name | Amanda E Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306298401 PECOS PAC ID: 5597053587 Enrollment ID: I20171026002285 |
| Provider Name | Sarah Mccaskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750801460 PECOS PAC ID: 3779840152 Enrollment ID: I20171121000905 |
| Provider Name | Emily C Ma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366967457 PECOS PAC ID: 6800153933 Enrollment ID: I20171128002861 |
| Provider Name | Milagros G Gordillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841698008 PECOS PAC ID: 6800175381 Enrollment ID: I20171207000626 |
| Provider Name | David T. Collett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205359460 PECOS PAC ID: 1557628153 Enrollment ID: I20171207001310 |
| Provider Name | Ryan J Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235667858 PECOS PAC ID: 7618235128 Enrollment ID: I20171211000477 |
| Provider Name | Kate S Boskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538537915 PECOS PAC ID: 5890095517 Enrollment ID: I20171211002038 |
| Provider Name | Bernice E Burford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477711273 PECOS PAC ID: 6204194764 Enrollment ID: I20171211002862 |
| Provider Name | Youngho P Kim |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1184069296 PECOS PAC ID: 7618236845 Enrollment ID: I20180117000342 |
| Provider Name | Molly Nussbaum Schulman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104336965 PECOS PAC ID: 0042570327 Enrollment ID: I20180206000608 |
| Provider Name | Charlotte P Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265958094 PECOS PAC ID: 3476813338 Enrollment ID: I20180214001474 |
| Provider Name | Meghan K Damelio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700339587 PECOS PAC ID: 3375822612 Enrollment ID: I20180314000149 |
| Provider Name | Julia Cereda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790204865 PECOS PAC ID: 2264794833 Enrollment ID: I20180319001421 |
| Provider Name | Lisa A Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790144475 PECOS PAC ID: 9234422007 Enrollment ID: I20180319001923 |
| Provider Name | Ashley Y Housen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356870380 PECOS PAC ID: 9335494541 Enrollment ID: I20180612000850 |
| Provider Name | Patrice M Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992243836 PECOS PAC ID: 0446509483 Enrollment ID: I20180823002480 |
| Provider Name | Ankush Bhatia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225394802 PECOS PAC ID: 0941550792 Enrollment ID: I20180829001542 |
| Provider Name | Shanna C Rittberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477982965 PECOS PAC ID: 8325276868 Enrollment ID: I20180829001673 |
| Provider Name | Caroll C Tipian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316337454 PECOS PAC ID: 2264739523 Enrollment ID: I20180911000017 |
| Provider Name | David Q Mao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942612007 PECOS PAC ID: 7810241627 Enrollment ID: I20181114002140 |
| Provider Name | Julia Ann Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053815134 PECOS PAC ID: 6901150655 Enrollment ID: I20181115000187 |
| Provider Name | Dalu Q Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043749955 PECOS PAC ID: 3173898194 Enrollment ID: I20181206001549 |
| Provider Name | Veronica Phipps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710416391 PECOS PAC ID: 3476890070 Enrollment ID: I20190121000092 |
| Provider Name | Melissa Selesky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891208666 PECOS PAC ID: 0648517961 Enrollment ID: I20190124002371 |
| Provider Name | Alpha Diallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093293185 PECOS PAC ID: 6507107703 Enrollment ID: I20190417001013 |
| Provider Name | Justin Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639589625 PECOS PAC ID: 6406175181 Enrollment ID: I20190819003522 |
| Provider Name | George Lai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265775019 PECOS PAC ID: 7719215169 Enrollment ID: I20190822001455 |
| Provider Name | Maya S Graham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871939447 PECOS PAC ID: 4385972751 Enrollment ID: I20190822002729 |
| Provider Name | Rebecca M Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649513334 PECOS PAC ID: 1951639335 Enrollment ID: I20190822003055 |
| Provider Name | Addie P Martin |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1548656572 PECOS PAC ID: 3476883992 Enrollment ID: I20190926001581 |
| Provider Name | Jane M Steinemann |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1992185417 PECOS PAC ID: 2062744865 Enrollment ID: I20191029000134 |
| Provider Name | Katherine E Degregorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689232332 PECOS PAC ID: 5597197830 Enrollment ID: I20191107001493 |
| Provider Name | Annah Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306404249 PECOS PAC ID: 7315371796 Enrollment ID: I20191217002150 |
| Provider Name | Kathryn D D'angelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851932362 PECOS PAC ID: 6406284231 Enrollment ID: I20200310001280 |
| Provider Name | Anne V Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215574306 PECOS PAC ID: 2163850637 Enrollment ID: I20200316001390 |
| Provider Name | Shannon E Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063903334 PECOS PAC ID: 9830527902 Enrollment ID: I20200324001393 |
| Provider Name | Tara Jean Bloss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093251985 PECOS PAC ID: 4082049150 Enrollment ID: I20200717001465 |
| Provider Name | Jessica E Goggin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558892364 PECOS PAC ID: 5991055782 Enrollment ID: I20200723002887 |
| Provider Name | Katelyn Kelly-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760952162 PECOS PAC ID: 3072937911 Enrollment ID: I20200723003372 |
| Provider Name | Elena Lubimov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104287796 PECOS PAC ID: 3375893423 Enrollment ID: I20200723003777 |
| Provider Name | Anastasia V Schimensky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295159267 PECOS PAC ID: 7517381494 Enrollment ID: I20200724001108 |
| Provider Name | Cassondra Calandrillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104395334 PECOS PAC ID: 8123443413 Enrollment ID: I20200804000825 |
| Provider Name | Joan Gorham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043557549 PECOS PAC ID: 7719278886 Enrollment ID: I20200806002308 |
| Provider Name | Julia M Reilly |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508251349 PECOS PAC ID: 6103179726 Enrollment ID: I20201007002955 |
| Provider Name | Ivan S Kotchetkov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356634356 PECOS PAC ID: 0941450126 Enrollment ID: I20201009000452 |
| Provider Name | Anna Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669917027 PECOS PAC ID: 2062832157 Enrollment ID: I20201012000036 |
| Provider Name | Helen H Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639562606 PECOS PAC ID: 5698065720 Enrollment ID: I20201021000062 |
| Provider Name | Lauren E Eddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346661980 PECOS PAC ID: 3173943594 Enrollment ID: I20201022003802 |
| Provider Name | Moe L Norton-westbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730798042 PECOS PAC ID: 1052731486 Enrollment ID: I20201023000177 |
| Provider Name | Christa Varnadoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922634393 PECOS PAC ID: 3779903109 Enrollment ID: I20201023000226 |
| Provider Name | Samantha K Francis |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1093168494 PECOS PAC ID: 6103170998 Enrollment ID: I20201025000032 |
| Provider Name | Jillian E Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891315081 PECOS PAC ID: 0244642478 Enrollment ID: I20201214000112 |
| Provider Name | Julienne Szabo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093320020 PECOS PAC ID: 9032522255 Enrollment ID: I20210107002325 |
| Provider Name | Emma J Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932780004 PECOS PAC ID: 3375940927 Enrollment ID: I20210923002462 |
| Provider Name | Elizabeth J Pedowitz |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1457745424 PECOS PAC ID: 8224369194 Enrollment ID: I20211027000070 |
| Provider Name | Jessica A Wilcox |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962899211 PECOS PAC ID: 7719375641 Enrollment ID: I20211027000094 |
| Provider Name | Tarring T Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245823442 PECOS PAC ID: 0941699243 Enrollment ID: I20211108000789 |
| Provider Name | Stephanie M Glavan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750054375 PECOS PAC ID: 2466841630 Enrollment ID: I20211109001252 |
| Provider Name | Jacquelyn S Stathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124591052 PECOS PAC ID: 2163764697 Enrollment ID: I20211110001336 |
| Provider Name | Katherine Sturm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861063620 PECOS PAC ID: 9335538453 Enrollment ID: I20211111001046 |
| Provider Name | Carly M Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245907146 PECOS PAC ID: 8729470067 Enrollment ID: I20220119002082 |
| Provider Name | Regan Marooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639849805 PECOS PAC ID: 0244622447 Enrollment ID: I20220120002033 |
| Provider Name | Alaedeen Khalil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306586706 PECOS PAC ID: 2860874781 Enrollment ID: I20220809000878 |
| Provider Name | Lauren K Fanning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013659879 PECOS PAC ID: 4486030491 Enrollment ID: I20220928002521 |
| Provider Name | Cathleen T Cuddihy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609409689 PECOS PAC ID: 8729454426 Enrollment ID: I20221020003362 |
| Provider Name | Anna Deforest |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962939124 PECOS PAC ID: 8820367444 Enrollment ID: I20221024002288 |
| Provider Name | Joshua A Budhu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508229691 PECOS PAC ID: 6002187259 Enrollment ID: I20221110001903 |
| Provider Name | Christine R Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275961252 PECOS PAC ID: 5294041331 Enrollment ID: I20221114000893 |
| Provider Name | Virginia R Whetstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053059329 PECOS PAC ID: 8628446903 Enrollment ID: I20221117000061 |
| Provider Name | Christine Y Paik |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1164928396 PECOS PAC ID: 4284979378 Enrollment ID: I20221117000475 |
| Provider Name | Kelley M Qualters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124761671 PECOS PAC ID: 6901274091 Enrollment ID: I20221121002598 |
| Provider Name | Miriam I Zander |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1225523194 PECOS PAC ID: 0244608909 Enrollment ID: I20221130002056 |
| Provider Name | Penina P Ben-yosef |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275263667 PECOS PAC ID: 3173994605 Enrollment ID: I20230120001225 |
| Provider Name | Elizabeth A Coffee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891159406 PECOS PAC ID: 9032407010 Enrollment ID: I20230124001096 |
| Provider Name | Kristina L Demilt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871225144 PECOS PAC ID: 9537530894 Enrollment ID: I20230124001509 |
| Provider Name | Ellie J Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619695608 PECOS PAC ID: 5496128084 Enrollment ID: I20230301002453 |
| Provider Name | Christina M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689390148 PECOS PAC ID: 5395118418 Enrollment ID: I20230310000160 |
| Provider Name | Margaret E Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609503820 PECOS PAC ID: 8921472861 Enrollment ID: I20230316001169 |
| Provider Name | Irene Petrocelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053039701 PECOS PAC ID: 8325412281 Enrollment ID: I20230316002008 |
| Provider Name | Sarah N Micley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477240083 PECOS PAC ID: 1951763226 Enrollment ID: I20230817003994 |
| Provider Name | Ian L Hao |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932662533 PECOS PAC ID: 2466806138 Enrollment ID: I20230928002684 |
| Provider Name | Deborah M Cassidy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679009351 PECOS PAC ID: 7618235326 Enrollment ID: I20231030001990 |
| Provider Name | Michael A Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215620463 PECOS PAC ID: 6406202175 Enrollment ID: I20231101001163 |
| Provider Name | Valerye W Ng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386328656 PECOS PAC ID: 4284081399 Enrollment ID: I20231111000247 |
| Provider Name | Meghan E Hendershot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497435747 PECOS PAC ID: 6901253012 Enrollment ID: I20231111000287 |
| Provider Name | Wendy A Marussich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316635956 PECOS PAC ID: 3072960186 Enrollment ID: I20231111000347 |
| Provider Name | Angela B Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619650819 PECOS PAC ID: 5193172070 Enrollment ID: I20231115000077 |
| Provider Name | Francis Augusto Augusto Gonzales-gottlieb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891376893 PECOS PAC ID: 0840640405 Enrollment ID: I20231221002897 |
| Provider Name | Sparkle Cadogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053183442 PECOS PAC ID: 5597108332 Enrollment ID: I20240208000979 |
| Provider Name | Teresa Bustamante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831757939 PECOS PAC ID: 3476981143 Enrollment ID: I20240208001808 |
| Provider Name | Nikita Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861264384 PECOS PAC ID: 0840633384 Enrollment ID: I20240212002442 |
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 |