Care Connect Medical P.c. | |
7 Skyline Dr Ste 250 Hawthorne NY 10532-2156 | |
(888) 789-9585 | |
Not Available |
Full Name | Care Connect Medical P.c. |
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Speciality | General Practice |
Location | 7 Skyline Dr Ste 250, Hawthorne, New York |
Authorized Official Name and Position | Orlando Collado (OWNER) |
Authorized Official Contact | 8887899585 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Care Connect Medical P.c. 3090 Bristol St Ste 200 Costa Mesa CA 92626-3061 Ph: (888) 789-9585 | Care Connect Medical P.c. 7 Skyline Dr Ste 250 Hawthorne NY 10532-2156 Ph: (888) 789-9585 |
NPI Number | 1457032328 |
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Provider Enumeration Date | 07/25/2023 |
Last Update Date | 07/25/2023 |
Medicare PECOS PAC ID | 0749641736 |
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Medicare Enrollment ID | O20230808000676 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457032328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Eileen B Reilly |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871586420 PECOS PAC ID: 9335042159 Enrollment ID: I20040129000661 |
Provider Name | Vimalson V Monickam |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669556726 PECOS PAC ID: 1456249234 Enrollment ID: I20040304001315 |
Provider Name | Patrick A Siaw |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922039213 PECOS PAC ID: 1355329996 Enrollment ID: I20040710000232 |
Provider Name | Chaim Silberberg |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265473540 PECOS PAC ID: 2567410269 Enrollment ID: I20050110000652 |
Provider Name | Igor Israel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851391692 PECOS PAC ID: 8325098825 Enrollment ID: I20050122000176 |
Provider Name | Alan C Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477509602 PECOS PAC ID: 1850299496 Enrollment ID: I20050516000097 |
Provider Name | Jeremy Bellinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124179197 PECOS PAC ID: 3779527924 Enrollment ID: I20050617000621 |
Provider Name | Charles W Yates |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134112691 PECOS PAC ID: 0244275758 Enrollment ID: I20050624000779 |
Provider Name | Catherine Powers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952329591 PECOS PAC ID: 7113974106 Enrollment ID: I20050719000707 |
Provider Name | Brian D Snyder |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437148087 PECOS PAC ID: 7517870702 Enrollment ID: I20061002000333 |
Provider Name | Teresa P Chau |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841286747 PECOS PAC ID: 3678469954 Enrollment ID: I20061002000361 |
Provider Name | Jeanne Hubner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124141338 PECOS PAC ID: 4183721947 Enrollment ID: I20070712000676 |
Provider Name | Gaddy A Haymov |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336132000 PECOS PAC ID: 2668553892 Enrollment ID: I20080114000738 |
Provider Name | Lorraine C Narby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316122674 PECOS PAC ID: 9436238235 Enrollment ID: I20080506000031 |
Provider Name | Christine Linder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568646909 PECOS PAC ID: 9335218544 Enrollment ID: I20080514000311 |
Provider Name | Katia Raphael |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912170861 PECOS PAC ID: 8729157870 Enrollment ID: I20080515000630 |
Provider Name | Pushpendra Sharma |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1558422964 PECOS PAC ID: 3072688142 Enrollment ID: I20080825000385 |
Provider Name | Boris Melnikau |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043476062 PECOS PAC ID: 1052477262 Enrollment ID: I20090312000370 |
Provider Name | Katherine Carletta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922234582 PECOS PAC ID: 5395882336 Enrollment ID: I20091026000015 |
Provider Name | Amanda R Cataldi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619103033 PECOS PAC ID: 6800934084 Enrollment ID: I20091109000237 |
Provider Name | Sophia Gazis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912907825 PECOS PAC ID: 2668511692 Enrollment ID: I20091203000468 |
Provider Name | Cele Sarai Schulz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932385069 PECOS PAC ID: 0143354506 Enrollment ID: I20100820000311 |
Provider Name | David J Farrugia |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891998563 PECOS PAC ID: 3476747718 Enrollment ID: I20101101001050 |
Provider Name | Cynthia Ann Skalyo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467494740 PECOS PAC ID: 6204018104 Enrollment ID: I20110315000074 |
Provider Name | Cynthia J Rowles |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740274752 PECOS PAC ID: 7911164298 Enrollment ID: I20120130000684 |
Provider Name | Steven Rivera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053505032 PECOS PAC ID: 0446415889 Enrollment ID: I20120710000051 |
Provider Name | Barbara K Augustin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194085548 PECOS PAC ID: 4789831652 Enrollment ID: I20120901000009 |
Provider Name | Judith Bell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699107011 PECOS PAC ID: 6608002548 Enrollment ID: I20131122001263 |
Provider Name | Kristal M Pierre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174899892 PECOS PAC ID: 9032341185 Enrollment ID: I20140404000008 |
Provider Name | Mary G Distefano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710328968 PECOS PAC ID: 1153645650 Enrollment ID: I20150109000788 |
Provider Name | Steven V Buslovich |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407172323 PECOS PAC ID: 7416172903 Enrollment ID: I20150303000034 |
Provider Name | Shella Frenel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588068431 PECOS PAC ID: 2567781891 Enrollment ID: I20150507001300 |
Provider Name | Irina Dashkova |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1972926889 PECOS PAC ID: 7214245190 Enrollment ID: I20150925000703 |
Provider Name | Naomi Heinemann |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689920266 PECOS PAC ID: 0143524330 Enrollment ID: I20160209001195 |
Provider Name | Musammat Rounak Jahan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699188680 PECOS PAC ID: 6406142538 Enrollment ID: I20160915001365 |
Provider Name | Deborah E Weinberger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154667731 PECOS PAC ID: 4183912710 Enrollment ID: I20161013001235 |
Provider Name | Neville Nugent |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679934152 PECOS PAC ID: 7113202979 Enrollment ID: I20170320000514 |
Provider Name | Elizabeth Benoy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457732539 PECOS PAC ID: 3274800255 Enrollment ID: I20170523000173 |
Provider Name | Aleena Ashok Malayil |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932626520 PECOS PAC ID: 6204101256 Enrollment ID: I20171002002181 |
Provider Name | Cassandre Desirade |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205178860 PECOS PAC ID: 9537420518 Enrollment ID: I20180308001311 |
Provider Name | Keshia Britton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629407341 PECOS PAC ID: 7315267994 Enrollment ID: I20180604000545 |
Provider Name | Susan N Dacres |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962552588 PECOS PAC ID: 0941555189 Enrollment ID: I20180612002048 |
Provider Name | Dacia A Harris |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215324181 PECOS PAC ID: 1254686728 Enrollment ID: I20180625002293 |
Provider Name | Nelcie Ecclesiastre |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679001341 PECOS PAC ID: 0941573703 Enrollment ID: I20190225002233 |
Provider Name | Jeanne Jeanlus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548532484 PECOS PAC ID: 7517200470 Enrollment ID: I20190515002970 |
Provider Name | Marie Valles |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487206967 PECOS PAC ID: 0042542136 Enrollment ID: I20191022002352 |
Provider Name | Keisha Mack |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487964631 PECOS PAC ID: 4284852559 Enrollment ID: I20191030000523 |
Provider Name | Marquita Scott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285275768 PECOS PAC ID: 9830521616 Enrollment ID: I20191115002205 |
Provider Name | Dayle M Butler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053445916 PECOS PAC ID: 2466626437 Enrollment ID: I20200714001496 |
Provider Name | Denise Cassandra Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033531595 PECOS PAC ID: 7618392333 Enrollment ID: I20200729000136 |
Provider Name | Johanne Jasmin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063032472 PECOS PAC ID: 1456779362 Enrollment ID: I20200909001748 |
Provider Name | Lincy Joseph |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275006629 PECOS PAC ID: 3072917806 Enrollment ID: I20210802001357 |
Provider Name | Evelyne Joseph |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528632619 PECOS PAC ID: 3971908781 Enrollment ID: I20210817002380 |
Provider Name | Abiodun Akinbobola |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023387248 PECOS PAC ID: 1254729775 Enrollment ID: I20211102001063 |
Provider Name | Shifra L Ullman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265199814 PECOS PAC ID: 6800288168 Enrollment ID: I20220118001057 |
Provider Name | Gamuchirai Cherry Mapfumo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255071767 PECOS PAC ID: 2062899925 Enrollment ID: I20220513001891 |
Provider Name | Sincy Jacob |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811612120 PECOS PAC ID: 0840662649 Enrollment ID: I20230203001357 |
Provider Name | Mini Roy Antony |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831814144 PECOS PAC ID: 9830561661 Enrollment ID: I20230203002317 |
Provider Name | Orlando Collado |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205964947 PECOS PAC ID: 8820143134 Enrollment ID: I20230808000816 |
Provider Name | Seena Jacob |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558050161 PECOS PAC ID: 7810351848 Enrollment ID: I20230911000196 |
Provider Name | Frances Glicksman |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1386646842 PECOS PAC ID: 3779767934 Enrollment ID: I20230913003162 |
Provider Name | Revalyn Thomas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346848256 PECOS PAC ID: 1759737273 Enrollment ID: I20231019002000 |
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Nymc- School Of Medicine Faculty Practice Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19 Skyline Dr, Hawthorne, NY 10532 Phone: 914-828-0435 Fax: 914-594-2261 |