| Artisans Ambulatory Medical Care Pllc | |
|
4521 Arthur Kill Rd Fl 2 Staten Island NY 10309-1315 | |
| (718) 491-2003 | |
| (718) 491-2007 |
| Full Name | Artisans Ambulatory Medical Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4521 Arthur Kill Rd Fl 2, Staten Island, New York |
| Authorized Official Name and Position | Ramsey Joudeh (OWNER) |
| Authorized Official Contact | 7184912003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Artisans Ambulatory Medical Care Pllc 466 Bay Ridge Ave Brooklyn NY 11220-5906 Ph: (718) 491-2003 | Artisans Ambulatory Medical Care Pllc 4521 Arthur Kill Rd Fl 2 Staten Island NY 10309-1315 Ph: (718) 491-2003 |
| NPI Number | 1225688419 |
|---|---|
| Provider Enumeration Date | 09/19/2019 |
| Last Update Date | 09/01/2021 |
| Medicare PECOS PAC ID | 8022340546 |
|---|---|
| Medicare Enrollment ID | O20191101000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225688419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Samir Haddad |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1841248234 PECOS PAC ID: 2860380086 Enrollment ID: I20040309000898 |
| Provider Name | Leonid Goldin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770631186 PECOS PAC ID: 1951359736 Enrollment ID: I20050107000845 |
| Provider Name | Basel Alhaddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487741120 PECOS PAC ID: 7810903812 Enrollment ID: I20060228000807 |
| Provider Name | Mohammad S Ibrahim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114938404 PECOS PAC ID: 7719080522 Enrollment ID: I20070316000020 |
| Provider Name | Omar S Duqmaq |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245418706 PECOS PAC ID: 9436290913 Enrollment ID: I20100106000118 |
| Provider Name | Venkatesh Sabhae Gangadharappa |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1033442058 PECOS PAC ID: 3577744747 Enrollment ID: I20110221000896 |
| Provider Name | George A Apergis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760657183 PECOS PAC ID: 9234317124 Enrollment ID: I20110623000521 |
| Provider Name | Ramsey Joudeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174819353 PECOS PAC ID: 3274752639 Enrollment ID: I20140917000160 |
| Provider Name | Marla Nord-henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699248823 PECOS PAC ID: 4284059908 Enrollment ID: I20200729000051 |
| Provider Name | Michelle Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851837967 PECOS PAC ID: 8426461724 Enrollment ID: I20210105003057 |
| Provider Name | Salah Eldin Mohamed |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225456759 PECOS PAC ID: 0143630772 Enrollment ID: I20231221000883 |
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