255 Greenwich Medical Services, P.c. | |
15 Canal Rd Pelham NY 10803-2706 | |
(718) 362-8184 | |
Not Available |
Full Name | 255 Greenwich Medical Services, P.c. |
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Speciality | Family Medicine |
Location | 15 Canal Rd, Pelham, New York |
Authorized Official Name and Position | Barry Buls (OWNER) |
Authorized Official Contact | 7183628184 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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255 Greenwich Medical Services, P.c. 612 Corporate Way Ste 2m Valley Cottage NY 10989-2027 Ph: (718) 362-1411 | 255 Greenwich Medical Services, P.c. 15 Canal Rd Pelham NY 10803-2706 Ph: (718) 362-8184 |
NPI Number | 1023677697 |
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Provider Enumeration Date | 06/07/2019 |
Last Update Date | 09/12/2019 |
Medicare PECOS PAC ID | 2769717693 |
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Medicare Enrollment ID | O20190715000700 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023677697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kenneth Horowitz |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1366426504 PECOS PAC ID: 9133032832 Enrollment ID: I20031110000164 |
Provider Name | Elaine R Williams |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1710959945 PECOS PAC ID: 4082606561 Enrollment ID: I20040402000629 |
Provider Name | Russell F Trahan |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1710934682 PECOS PAC ID: 9537151105 Enrollment ID: I20040402001215 |
Provider Name | Palash Das |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417918178 PECOS PAC ID: 2466445317 Enrollment ID: I20040406001095 |
Provider Name | John D Rundquist |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1386611358 PECOS PAC ID: 6204820988 Enrollment ID: I20040414000727 |
Provider Name | Andrew J Cohen |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1235100157 PECOS PAC ID: 2860472933 Enrollment ID: I20040721000510 |
Provider Name | Karl T Eng |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1710925938 PECOS PAC ID: 7012987415 Enrollment ID: I20040730000911 |
Provider Name | Adrienne M Cassata |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1548200801 PECOS PAC ID: 8628045952 Enrollment ID: I20040915000482 |
Provider Name | Kara I Gibbs |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083605745 PECOS PAC ID: 1850351149 Enrollment ID: I20041012000664 |
Provider Name | Brian M Strauss |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1659595957 PECOS PAC ID: 6305803610 Enrollment ID: I20041217000264 |
Provider Name | John Joseph Weber |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1306946991 PECOS PAC ID: 0446297949 Enrollment ID: I20050415000648 |
Provider Name | Barry J Buls |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548395171 PECOS PAC ID: 6709890957 Enrollment ID: I20060126001040 |
Provider Name | Jay D Bienenfeld |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1922166701 PECOS PAC ID: 5395819536 Enrollment ID: I20080805000900 |
Provider Name | Christopher Main |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942399274 PECOS PAC ID: 3072699842 Enrollment ID: I20080919000232 |
Provider Name | Howard J Kass |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073518858 PECOS PAC ID: 4385796705 Enrollment ID: I20090716000201 |
Provider Name | David Lelonek |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447254941 PECOS PAC ID: 7517150790 Enrollment ID: I20101020000588 |
Provider Name | Melanie Metsa |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447255807 PECOS PAC ID: 4486827177 Enrollment ID: I20111025000175 |
Provider Name | Jennifer E Stevens |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902841984 PECOS PAC ID: 8325028178 Enrollment ID: I20140122001503 |
Provider Name | Angela M Holland-ridges |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1780941195 PECOS PAC ID: 0042534240 Enrollment ID: I20150116001475 |
Provider Name | Monica Nguyen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1649674094 PECOS PAC ID: 7214253939 Enrollment ID: I20150224000389 |
Provider Name | Pratik Vyas |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992155196 PECOS PAC ID: 0749575363 Enrollment ID: I20160822002034 |
Provider Name | Charles A Kattan |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1891107918 PECOS PAC ID: 5890075238 Enrollment ID: I20161201000644 |
Provider Name | John Moriarty |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1821476201 PECOS PAC ID: 7911269899 Enrollment ID: I20180314000154 |
Provider Name | Amna S. Ashfaq |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1497191720 PECOS PAC ID: 9234492422 Enrollment ID: I20180423001299 |
Provider Name | Ashley N Szalkowski |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336633262 PECOS PAC ID: 5496001711 Enrollment ID: I20180628002691 |
Provider Name | David Alan Sanders |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1760978886 PECOS PAC ID: 7416286257 Enrollment ID: I20190904002315 |
Provider Name | Megan Mcdonald |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285231597 PECOS PAC ID: 8628484078 Enrollment ID: I20210309002027 |
Provider Name | Katherine Antzoulatos |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1366908139 PECOS PAC ID: 6103235205 Enrollment ID: I20210430001662 |
Provider Name | Carol Tong |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1346698453 PECOS PAC ID: 7012254055 Enrollment ID: I20210513002273 |
Provider Name | Weston Goring |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1689027674 PECOS PAC ID: 5193129617 Enrollment ID: I20210805002234 |
Provider Name | Cassandre Sophia Aman |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1700374956 PECOS PAC ID: 1658778717 Enrollment ID: I20210916002224 |
Provider Name | Devi G Enerio-ellant |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1659491892 PECOS PAC ID: 8123425147 Enrollment ID: I20210917001801 |
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