| Montefiore Mount Vernon Professional Billing | |
|
12 N 7th Ave Mount Vernon NY 10550-2026 | |
| (914) 664-8000 | |
| Not Available |
| Full Name | Montefiore Mount Vernon Professional Billing |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 12 N 7th Ave, Mount Vernon, New York |
| Authorized Official Name and Position | Jessica N Varona (SENIOR APP ANALYST) |
| Authorized Official Contact | 9143786148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montefiore Mount Vernon Professional Billing 12 N 7th Ave Mount Vernon NY 10550-2026 Ph: (914) 664-8000 | Montefiore Mount Vernon Professional Billing 12 N 7th Ave Mount Vernon NY 10550-2026 Ph: (914) 664-8000 |
| NPI Number | 1013345065 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Medicare PECOS PAC ID | 7810122231 |
|---|---|
| Medicare Enrollment ID | O20150423000849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013345065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Primary |
| Provider Name | Jason Hodges |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306828744 PECOS PAC ID: 9234033390 Enrollment ID: I20031121000082 |
| Provider Name | Bruce Campbell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780666883 PECOS PAC ID: 1254237498 Enrollment ID: I20031209000926 |
| Provider Name | Dariush Alaie |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134108475 PECOS PAC ID: 4082513775 Enrollment ID: I20031231000586 |
| Provider Name | Stephen H Robinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770566580 PECOS PAC ID: 9133016686 Enrollment ID: I20040301000732 |
| Provider Name | Melvin I Leeds |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679556088 PECOS PAC ID: 0648167031 Enrollment ID: I20040301001018 |
| Provider Name | Edmond Balakhane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992787121 PECOS PAC ID: 3577450717 Enrollment ID: I20040302000717 |
| Provider Name | Paola Greiger-zanlungo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306824339 PECOS PAC ID: 5890682728 Enrollment ID: I20040303001194 |
| Provider Name | Jimmy Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174615843 PECOS PAC ID: 9739079088 Enrollment ID: I20040318001455 |
| Provider Name | Ihuoma Alozie-uddoh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538266507 PECOS PAC ID: 6709873599 Enrollment ID: I20040426000816 |
| Provider Name | David I Weltman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326021163 PECOS PAC ID: 4880684687 Enrollment ID: I20040513001529 |
| Provider Name | Robert M Wilkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508840505 PECOS PAC ID: 8224029459 Enrollment ID: I20040518001207 |
| Provider Name | Daryl W Graves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184698813 PECOS PAC ID: 2769467067 Enrollment ID: I20040621001821 |
| Provider Name | Russell S Weinstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992788459 PECOS PAC ID: 4587641261 Enrollment ID: I20040630001019 |
| Provider Name | Payam Rafat |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760584437 PECOS PAC ID: 2668444738 Enrollment ID: I20040810000029 |
| Provider Name | Peter E Nnaemeka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699734921 PECOS PAC ID: 7315915717 Enrollment ID: I20040923000268 |
| Provider Name | James R Mcwilliam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467567305 PECOS PAC ID: 8527955319 Enrollment ID: I20041027000315 |
| Provider Name | Pushpinder Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326073552 PECOS PAC ID: 1153383427 Enrollment ID: I20041028001116 |
| Provider Name | Ilisse Perlmutter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053491829 PECOS PAC ID: 4880656107 Enrollment ID: I20041029000373 |
| Provider Name | Christine Nicoleau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255424487 PECOS PAC ID: 3577528546 Enrollment ID: I20041201000672 |
| Provider Name | Aneta Ostrowska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205942000 PECOS PAC ID: 9234195686 Enrollment ID: I20041207000818 |
| Provider Name | Moses Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881622025 PECOS PAC ID: 7719944412 Enrollment ID: I20041214000997 |
| Provider Name | Rakesh A Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245274844 PECOS PAC ID: 5092768333 Enrollment ID: I20050225000660 |
| Provider Name | Ogedi Ohajekwe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225113814 PECOS PAC ID: 6608815360 Enrollment ID: I20050502000953 |
| Provider Name | Claus P Von Schorn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982676417 PECOS PAC ID: 7416990924 Enrollment ID: I20050606001052 |
| Provider Name | Robert B Limani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922011618 PECOS PAC ID: 5496710626 Enrollment ID: I20050806000157 |
| Provider Name | Lisa A Marrero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164482329 PECOS PAC ID: 4082649025 Enrollment ID: I20050928001332 |
| Provider Name | Mahdi S Abdullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285601914 PECOS PAC ID: 2163440728 Enrollment ID: I20051102001166 |
| Provider Name | Rosie Y Lyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134189194 PECOS PAC ID: 3779501283 Enrollment ID: I20051103000351 |
| Provider Name | Daniela Levi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144301565 PECOS PAC ID: 9133139108 Enrollment ID: I20060504000695 |
| Provider Name | Alan B Mccollom |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699725531 PECOS PAC ID: 8123049525 Enrollment ID: I20060505000886 |
| Provider Name | Karen E Horwitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790793560 PECOS PAC ID: 4789688805 Enrollment ID: I20060905000030 |
| Provider Name | Mariamma G Dubey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407884828 PECOS PAC ID: 4688672744 Enrollment ID: I20061128000228 |
| Provider Name | Victor Mandanas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356413785 PECOS PAC ID: 8628077948 Enrollment ID: I20061215000072 |
| Provider Name | Richard L Petrillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386749927 PECOS PAC ID: 5395744452 Enrollment ID: I20061219000138 |
| Provider Name | Evelyn Rondinel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821138702 PECOS PAC ID: 6507961380 Enrollment ID: I20070424000250 |
| Provider Name | Reginald J Denis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699984682 PECOS PAC ID: 6901905124 Enrollment ID: I20070628000123 |
| Provider Name | Guirlaine L Agnant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811956162 PECOS PAC ID: 6800996877 Enrollment ID: I20070705000653 |
| Provider Name | Maria Y Mazing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598877276 PECOS PAC ID: 6002719580 Enrollment ID: I20070829000927 |
| Provider Name | Arlene Sussman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417928060 PECOS PAC ID: 2961596002 Enrollment ID: I20070919000781 |
| Provider Name | Rosanne M Newell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780766956 PECOS PAC ID: 6305930041 Enrollment ID: I20070926000054 |
| Provider Name | Sheldon M Wasserman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255345625 PECOS PAC ID: 4880780204 Enrollment ID: I20071017000399 |
| Provider Name | Kathleen D Whitney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821178328 PECOS PAC ID: 4688760796 Enrollment ID: I20071022000192 |
| Provider Name | Steven I. Leffler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326056995 PECOS PAC ID: 9436117090 Enrollment ID: I20071109000097 |
| Provider Name | Francis O Agbonkpolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467555458 PECOS PAC ID: 3779663695 Enrollment ID: I20080104000410 |
| Provider Name | Itha H Harewood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124092952 PECOS PAC ID: 9436231370 Enrollment ID: I20080130000573 |
| Provider Name | Imtiaz Ahmad |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1962494997 PECOS PAC ID: 2668461401 Enrollment ID: I20080428000288 |
| Provider Name | Edward J Broccoli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609866060 PECOS PAC ID: 0648167247 Enrollment ID: I20080731000237 |
| Provider Name | Miguel R Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912173501 PECOS PAC ID: 2466528948 Enrollment ID: I20080908000031 |
| Provider Name | Gary Kronfeld |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063526630 PECOS PAC ID: 0042119380 Enrollment ID: I20081120000337 |
| Provider Name | Nandita Sinha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467679357 PECOS PAC ID: 4789785833 Enrollment ID: I20090226000089 |
| Provider Name | Satish Doddakashi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821085481 PECOS PAC ID: 3476580416 Enrollment ID: I20090330000242 |
| Provider Name | Sanford L Taffet |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215002035 PECOS PAC ID: 2769539154 Enrollment ID: I20090422000555 |
| Provider Name | Marc Janis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669587879 PECOS PAC ID: 5092867135 Enrollment ID: I20090721000070 |
| Provider Name | Albert Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083869226 PECOS PAC ID: 4486706561 Enrollment ID: I20090721000432 |
| Provider Name | Charles Yang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679736706 PECOS PAC ID: 1759422157 Enrollment ID: I20100107000391 |
| Provider Name | Stephen C Klass |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518980960 PECOS PAC ID: 5395870620 Enrollment ID: I20100311000919 |
| Provider Name | Sara Karimi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356473540 PECOS PAC ID: 6709913205 Enrollment ID: I20100414000549 |
| Provider Name | Edward M Stephens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487746111 PECOS PAC ID: 9931236593 Enrollment ID: I20100430000002 |
| Provider Name | Manzoor Bhatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629149562 PECOS PAC ID: 6608904701 Enrollment ID: I20100511000812 |
| Provider Name | Mihai Caratas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558508275 PECOS PAC ID: 0941333710 Enrollment ID: I20100802000486 |
| Provider Name | Perry R Cohen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326209677 PECOS PAC ID: 1850415506 Enrollment ID: I20100901000559 |
| Provider Name | Yasmin Dhar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447485941 PECOS PAC ID: 0244355949 Enrollment ID: I20100918000001 |
| Provider Name | Aaron E Roth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710985379 PECOS PAC ID: 5890989693 Enrollment ID: I20101104001206 |
| Provider Name | Donna L Kessinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649277427 PECOS PAC ID: 2365518412 Enrollment ID: I20101115001061 |
| Provider Name | Gary Ishkanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568541100 PECOS PAC ID: 8527255579 Enrollment ID: I20101203000324 |
| Provider Name | Robert W Antonelle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609851690 PECOS PAC ID: 8224225313 Enrollment ID: I20101215000819 |
| Provider Name | Amir Yamani |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174568299 PECOS PAC ID: 9931099629 Enrollment ID: I20101216000193 |
| Provider Name | Silkia M Figueroa-martinez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881896496 PECOS PAC ID: 4789762915 Enrollment ID: I20110307000055 |
| Provider Name | Michael J Lombino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194933911 PECOS PAC ID: 6709901978 Enrollment ID: I20110701000005 |
| Provider Name | Ahmed Asif |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1427144476 PECOS PAC ID: 1355513102 Enrollment ID: I20111020000495 |
| Provider Name | Robert C Goldstein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437307808 PECOS PAC ID: 6305012832 Enrollment ID: I20120104000290 |
| Provider Name | Jose A Baez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497781371 PECOS PAC ID: 1153581152 Enrollment ID: I20120329000235 |
| Provider Name | Wilson N Iroham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114286119 PECOS PAC ID: 4486818283 Enrollment ID: I20120607000066 |
| Provider Name | Dallas Broadway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366646416 PECOS PAC ID: 1052577723 Enrollment ID: I20120724000873 |
| Provider Name | Roger Coron |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588872873 PECOS PAC ID: 5991951071 Enrollment ID: I20120806000084 |
| Provider Name | Verta I Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124058268 PECOS PAC ID: 4587811211 Enrollment ID: I20120830000637 |
| Provider Name | Narmin Mizan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336316991 PECOS PAC ID: 9537346499 Enrollment ID: I20121107000550 |
| Provider Name | Richard A Ellison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013932383 PECOS PAC ID: 6901701044 Enrollment ID: I20130427000125 |
| Provider Name | Dan Giurca |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558509505 PECOS PAC ID: 9537399464 Enrollment ID: I20140220000700 |
| Provider Name | Maday C Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841599388 PECOS PAC ID: 7810115557 Enrollment ID: I20140821002306 |
| Provider Name | Farhad Kadkhodaei Elyaderani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396972725 PECOS PAC ID: 9234451220 Enrollment ID: I20141202001145 |
| Provider Name | Janine Keuskamp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629343348 PECOS PAC ID: 2961725270 Enrollment ID: I20141217001928 |
| Provider Name | Nadeem Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639499742 PECOS PAC ID: 3678894904 Enrollment ID: I20150611001432 |
| Provider Name | Kan Zhang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023264157 PECOS PAC ID: 4688988272 Enrollment ID: I20150727000941 |
| Provider Name | Aaron N Insel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306072038 PECOS PAC ID: 9537474259 Enrollment ID: I20150810002506 |
| Provider Name | Jennifer Claudia Poste |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598036295 PECOS PAC ID: 1052621554 Enrollment ID: I20151113000117 |
| Provider Name | Hakeem Afuwape |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326292806 PECOS PAC ID: 7810112380 Enrollment ID: I20151113000951 |
| Provider Name | A Jill Leibman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144385006 PECOS PAC ID: 6002099215 Enrollment ID: I20151117002668 |
| Provider Name | Mchael E Vitale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891928255 PECOS PAC ID: 6800196684 Enrollment ID: I20151201000287 |
| Provider Name | Vijay Jaswani |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1689801995 PECOS PAC ID: 3779881024 Enrollment ID: I20160420000124 |
| Provider Name | Nkiruka J Iloh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972851327 PECOS PAC ID: 7012207350 Enrollment ID: I20160527001430 |
| Provider Name | Ryan L Mulry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245634377 PECOS PAC ID: 3779873732 Enrollment ID: I20160602001976 |
| Provider Name | Esther Bilinsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295034775 PECOS PAC ID: 5395039465 Enrollment ID: I20160811002640 |
| Provider Name | Christina E Chougar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326363391 PECOS PAC ID: 8123313467 Enrollment ID: I20160825000355 |
| Provider Name | Rena Shabalova |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134449085 PECOS PAC ID: 4486957776 Enrollment ID: I20161018000973 |
| Provider Name | Allison K Ungar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891089157 PECOS PAC ID: 8022396571 Enrollment ID: I20161103001001 |
| Provider Name | Claudia P Castiblanco |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801056510 PECOS PAC ID: 8921256447 Enrollment ID: I20170210001207 |
| Provider Name | Poovasit Klinoubol |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205245024 PECOS PAC ID: 1153689229 Enrollment ID: I20171219000181 |
| Provider Name | Jin Qian |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1831414812 PECOS PAC ID: 7113229790 Enrollment ID: I20171222000822 |
| Provider Name | Monica Vielman Quevedo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174927008 PECOS PAC ID: 8325307242 Enrollment ID: I20180122001184 |
| Provider Name | Rosa H Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811068695 PECOS PAC ID: 0143583245 Enrollment ID: I20180423002441 |
| Provider Name | Sameen Farooq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912391822 PECOS PAC ID: 4880958677 Enrollment ID: I20180725002103 |
| Provider Name | Mariovisto F Frogozo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427006139 PECOS PAC ID: 6901796705 Enrollment ID: I20190307001208 |
| Provider Name | Dae Yong Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104205103 PECOS PAC ID: 2668711680 Enrollment ID: I20190308000346 |
| Provider Name | Rami Irfan Farhat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194162644 PECOS PAC ID: 8426382136 Enrollment ID: I20190701001040 |
| Provider Name | Faisal Mehmood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518329812 PECOS PAC ID: 5698001436 Enrollment ID: I20190731002397 |
| Provider Name | Marisa Aranyavickul |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659725604 PECOS PAC ID: 2961831862 Enrollment ID: I20200327001978 |
| Provider Name | Priyanka M Patil |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942681853 PECOS PAC ID: 1850630781 Enrollment ID: I20200420001507 |
| Provider Name | Joshua B Feldman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912384314 PECOS PAC ID: 1557692357 Enrollment ID: I20200728002783 |
| Provider Name | Eric Cheung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043672421 PECOS PAC ID: 8628364031 Enrollment ID: I20210608001773 |
| Provider Name | Qing Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306086152 PECOS PAC ID: 6709078892 Enrollment ID: I20220817000479 |
| Provider Name | Ruobing Xiao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902067978 PECOS PAC ID: 5092034959 Enrollment ID: I20221229001106 |
| Provider Name | Lanny T Difranza |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073019725 PECOS PAC ID: 7719225705 Enrollment ID: I20230203001131 |
| Provider Name | Michael H Karasick |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851898282 PECOS PAC ID: 9436521002 Enrollment ID: I20230207003245 |
| Provider Name | James Efiong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104988187 PECOS PAC ID: 1658304415 Enrollment ID: I20231116002429 |
| Provider Name | Samuel B Reichberg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235273137 PECOS PAC ID: 4284075730 Enrollment ID: I20240515000206 |
Diaon Clarke Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Gramatan Ave Ste 607, Mount Vernon, NY 10550 Phone: 914-837-8336 Fax: 914-560-2135 | |
Wingspan Psychiatric, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 S Columbus Ave Fl 1, Mount Vernon, NY 10553 Phone: 914-413-1553 Fax: 978-701-6001 | |
The Mount Vernon Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 N 7th Ave, Mount Vernon, NY 10550 Phone: 914-664-8000 Fax: 914-664-8015 | |
Shame Free Therapy, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Gramatan Ave, Mount Vernon, NY 10552 Phone: 650-930-6471 | |
Inpatient Psychiatric Unit Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 N 7th Ave, Mount Vernon, NY 10550 Phone: 914-664-8000 Fax: 914-632-4938 | |
Independence Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Fiske Pl, 205, Mount Vernon, NY 10550 Phone: 914-664-0400 Fax: 914-664-0404 |