| Alliance Health Group | |
|
245 Saw Mill River Rd Ste 106 Hawthorne NY 10532-1547 | |
| (617) 784-6396 | |
| Not Available |
| Full Name | Alliance Health Group |
|---|---|
| Speciality | General Practice |
| Location | 245 Saw Mill River Rd Ste 106, Hawthorne, New York |
| Authorized Official Name and Position | Ameya Dorsatwar (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6177846396 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Health Group 245 Saw Mill River Rd Ste 106 Hawthorne NY 10532-1547 Ph: (617) 784-6396 | Alliance Health Group 245 Saw Mill River Rd Ste 106 Hawthorne NY 10532-1547 Ph: (617) 784-6396 |
| NPI Number | 1528775343 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 11/01/2022 |
| Medicare PECOS PAC ID | 4486024239 |
|---|---|
| Medicare Enrollment ID | O20230112000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528775343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Silvy E Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295700276 PECOS PAC ID: 6901868116 Enrollment ID: I20041101000001 |
| Provider Name | Srinivasa Adapa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083667935 PECOS PAC ID: 6507812625 Enrollment ID: I20110301000764 |
| Provider Name | Ameya R Dorsatwar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326437799 PECOS PAC ID: 8820317522 Enrollment ID: I20190315002095 |
| Provider Name | Valcuse Delma |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1013153154 PECOS PAC ID: 4082099502 Enrollment ID: I20220920003083 |
| Provider Name | Liza Placido |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598538720 PECOS PAC ID: 6608223813 Enrollment ID: I20231109002293 |
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