| Neurology Medical Service Group, Llp | |
|
750 E Adams St Syracuse NY 13210-2306 | |
| (315) 464-5302 | |
| (315) 464-5355 |
| Full Name | Neurology Medical Service Group, Llp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 750 E Adams St, Syracuse, New York |
| Authorized Official Name and Position | Luis J. Mejico (PRESIDENT) |
| Authorized Official Contact | 3154642014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Medical Service Group, Llp 750 E Adams St Syracuse NY 13210-2306 Ph: (315) 464-5302 | Neurology Medical Service Group, Llp 750 E Adams St Syracuse NY 13210-2306 Ph: (315) 464-5302 |
| NPI Number | 1518907096 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 03/15/2021 |
| Certification Date | 03/15/2021 |
| Medicare PECOS PAC ID | 7214928035 |
|---|---|
| Medicare Enrollment ID | O20040520000956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518907096 | NPI | - | NPPES |
| 02635789 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Michael D Katz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922160068 PECOS PAC ID: 9335030865 Enrollment ID: I20040323001234 |
| Provider Name | Dragos L Mihaila |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164470241 PECOS PAC ID: 8921099243 Enrollment ID: I20040524000967 |
| Provider Name | Carmen M Martinez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457349607 PECOS PAC ID: 0446217129 Enrollment ID: I20041214000802 |
| Provider Name | Kelly L Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760491872 PECOS PAC ID: 0446276760 Enrollment ID: I20051017000474 |
| Provider Name | Eufrosina I Young |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710968730 PECOS PAC ID: 4082632757 Enrollment ID: I20051110000879 |
| Provider Name | Robert L Beach |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770541187 PECOS PAC ID: 0749294650 Enrollment ID: I20060309000591 |
| Provider Name | Paul F Kent |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043268154 PECOS PAC ID: 8628082534 Enrollment ID: I20060309000609 |
| Provider Name | Cornelia Mihai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144288937 PECOS PAC ID: 2264446178 Enrollment ID: I20060419000634 |
| Provider Name | Laura E Simionescu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770624199 PECOS PAC ID: 8426140575 Enrollment ID: I20070822000408 |
| Provider Name | Nancy F Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891906426 PECOS PAC ID: 8729171574 Enrollment ID: I20070910000712 |
| Provider Name | Brenda Schader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457419947 PECOS PAC ID: 7911094081 Enrollment ID: I20071106000652 |
| Provider Name | Julius G Latorre |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427049030 PECOS PAC ID: 4688761760 Enrollment ID: I20071106000714 |
| Provider Name | Mikhail Mirer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790781946 PECOS PAC ID: 5991895401 Enrollment ID: I20071220000699 |
| Provider Name | Melissa W Ko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548325707 PECOS PAC ID: 9739253931 Enrollment ID: I20080806000533 |
| Provider Name | Amy Elaine Sanders |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710154000 PECOS PAC ID: 3678648169 Enrollment ID: I20080819000006 |
| Provider Name | Luis J Mejico |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366400152 PECOS PAC ID: 1355355264 Enrollment ID: I20100108000500 |
| Provider Name | Michael L Vertino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861450694 PECOS PAC ID: 0244244150 Enrollment ID: I20100201000031 |
| Provider Name | Deborah Y Bradshaw |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023066248 PECOS PAC ID: 5193739001 Enrollment ID: I20100209000306 |
| Provider Name | Antonio Culebras |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295793990 PECOS PAC ID: 4082628995 Enrollment ID: I20100226000655 |
| Provider Name | Rosamma Joseph |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447477948 PECOS PAC ID: 8022066414 Enrollment ID: I20100828000134 |
| Provider Name | Bhagwan I Moorjani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598842833 PECOS PAC ID: 5294887287 Enrollment ID: I20101119001093 |
| Provider Name | Anuradha Duleep |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215174362 PECOS PAC ID: 5193991594 Enrollment ID: I20120106000409 |
| Provider Name | Kara L Donato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699051953 PECOS PAC ID: 8628231404 Enrollment ID: I20120514000545 |
| Provider Name | Shahram Izadyar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497907273 PECOS PAC ID: 5092971358 Enrollment ID: I20120801000095 |
| Provider Name | Elwaleed Elnour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659569390 PECOS PAC ID: 5294822607 Enrollment ID: I20120813000561 |
| Provider Name | Corey Mcgraw |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649592197 PECOS PAC ID: 7517113145 Enrollment ID: I20120814000067 |
| Provider Name | Sulada Kanchana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538137773 PECOS PAC ID: 5991770380 Enrollment ID: I20130912000028 |
| Provider Name | Sundus Latif |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225287311 PECOS PAC ID: 3779719596 Enrollment ID: I20131126000459 |
| Provider Name | Christine Kirkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598951550 PECOS PAC ID: 1052636198 Enrollment ID: I20150211001541 |
| Provider Name | Karen L Medin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881837169 PECOS PAC ID: 3072738707 Enrollment ID: I20151001000576 |
| Provider Name | Hesham E. Masoud |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356505523 PECOS PAC ID: 6103049325 Enrollment ID: I20151023002203 |
| Provider Name | Elena Schmidt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245464452 PECOS PAC ID: 8022327436 Enrollment ID: I20151027000493 |
| Provider Name | Muhammad Salim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205042579 PECOS PAC ID: 5092831164 Enrollment ID: I20161013001839 |
| Provider Name | Ai D Sakonju |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902959323 PECOS PAC ID: 1850450289 Enrollment ID: I20161101001303 |
| Provider Name | Ahmed M Eldokla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376706424 PECOS PAC ID: 5294906186 Enrollment ID: I20161118001722 |
| Provider Name | Steven M Rothman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972534485 PECOS PAC ID: 9032193586 Enrollment ID: I20161202001011 |
| Provider Name | Awss Zidan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225472525 PECOS PAC ID: 2567730807 Enrollment ID: I20170609001740 |
| Provider Name | Xiangping Zhou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407099179 PECOS PAC ID: 8628383304 Enrollment ID: I20171122002130 |
| Provider Name | Karen C Albright |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316145535 PECOS PAC ID: 5092904607 Enrollment ID: I20171212001628 |
| Provider Name | Jenny A Meyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528301587 PECOS PAC ID: 7113274580 Enrollment ID: I20180717003501 |
| Provider Name | Puneet Kapur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922340355 PECOS PAC ID: 4082963244 Enrollment ID: I20180821002096 |
| Provider Name | Deborah H Bedford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588040331 PECOS PAC ID: 5092015966 Enrollment ID: I20181029000939 |
| Provider Name | Rachel Eljashev |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992280374 PECOS PAC ID: 9335484096 Enrollment ID: I20181227001678 |
| Provider Name | Fadar O Otite |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932442951 PECOS PAC ID: 4981978962 Enrollment ID: I20190606000071 |
| Provider Name | Manal Moustafa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467780684 PECOS PAC ID: 7618278011 Enrollment ID: I20190627000496 |
| Provider Name | Nicole C Brescia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497097877 PECOS PAC ID: 7719236546 Enrollment ID: I20190716001879 |
| Provider Name | Sara Tg Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255741096 PECOS PAC ID: 6901104355 Enrollment ID: I20190814003321 |
| Provider Name | Lisa Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871011346 PECOS PAC ID: 6103155270 Enrollment ID: I20190916001177 |
| Provider Name | Arayamparambil C Anilkumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710022066 PECOS PAC ID: 6406956705 Enrollment ID: I20190918002107 |
| Provider Name | Victoria Titoff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992140768 PECOS PAC ID: 4880972868 Enrollment ID: I20191011000908 |
| Provider Name | Tinatin Chabrashvili |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235316662 PECOS PAC ID: 5698835387 Enrollment ID: I20191127002489 |
| Provider Name | Ruham Alshiekh Nasany |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649699570 PECOS PAC ID: 1254755150 Enrollment ID: I20200724001872 |
| Provider Name | Rohit A Swarnkar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639556194 PECOS PAC ID: 4183961717 Enrollment ID: I20210120001581 |
| Provider Name | Reema Choudhry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457728289 PECOS PAC ID: 6608280953 Enrollment ID: I20210127001325 |
| Provider Name | Carlos F Muniz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043598543 PECOS PAC ID: 4880999275 Enrollment ID: I20210511000068 |
| Provider Name | Ioana Medrea |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558989160 PECOS PAC ID: 9133545270 Enrollment ID: I20210603002000 |
| Provider Name | Claribel D Wee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255718722 PECOS PAC ID: 8628315223 Enrollment ID: I20210609001194 |
| Provider Name | David Poliner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861836819 PECOS PAC ID: 6507154077 Enrollment ID: I20210812002223 |
| Provider Name | Kimberly A Laxton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770015190 PECOS PAC ID: 0648517250 Enrollment ID: I20210902002240 |
| Provider Name | Sherif A Elwan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902109150 PECOS PAC ID: 0547507162 Enrollment ID: I20210902002452 |
| Provider Name | Stephanie M Garland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386005312 PECOS PAC ID: 1951699263 Enrollment ID: I20220512001926 |
| Provider Name | Devin J Burke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093179707 PECOS PAC ID: 0143603498 Enrollment ID: I20220818002156 |
| Provider Name | Katherine M Wojcicki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790149029 PECOS PAC ID: 2567712185 Enrollment ID: I20221017002497 |
| Provider Name | Molly K Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700505930 PECOS PAC ID: 9234505785 Enrollment ID: I20221025000983 |
| Provider Name | Aravind Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548756588 PECOS PAC ID: 9436527447 Enrollment ID: I20221123001086 |
| Provider Name | Mariana R Ames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679358055 PECOS PAC ID: 6204283088 Enrollment ID: I20231116000486 |
| Provider Name | Mina H Michael |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467939439 PECOS PAC ID: 0840648762 Enrollment ID: I20231201002643 |
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Buffalo Centre For The Treatment Of Eating Disorders Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 E Genesee St, Suite 217, Syracuse, NY 13202 Phone: 315-422-0300 Fax: 315-479-8455 | |
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