Cerebral Palsy Of The North Country | |
4 Commerce Ln Canton NY 13617-3739 | |
(315) 386-1156 | |
(315) 379-9388 |
Full Name | Cerebral Palsy Of The North Country |
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Speciality | Clinic/Center |
Location | 4 Commerce Ln, Canton, New York |
Authorized Official Name and Position | Tarik Maatallah (DIRECTOR OF REVENUE CYCLE) |
Authorized Official Contact | 3153861156 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cerebral Palsy Of The North Country 4 Commerce Ln Canton NY 13617-3739 Ph: (315) 386-1156 | Cerebral Palsy Of The North Country 4 Commerce Ln Canton NY 13617-3739 Ph: (315) 386-1156 |
NPI Number | 1467432765 |
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Provider Enumeration Date | 01/20/2006 |
Last Update Date | 04/19/2019 |
Medicare PECOS PAC ID | 8729078001 |
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Medicare Enrollment ID | O20040518000102 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467432765 | NPI | - | NPPES |
01995615 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Muhammad Saleem |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1184618084 PECOS PAC ID: 6901896935 Enrollment ID: I20040513000252 |
Provider Name | Craig W Richards |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568447993 PECOS PAC ID: 7911984760 Enrollment ID: I20040630000736 |
Provider Name | Andrew F Williams |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154365286 PECOS PAC ID: 5294768297 Enrollment ID: I20050912000171 |
Provider Name | Jonathan P Ludlow |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417939604 PECOS PAC ID: 9537175807 Enrollment ID: I20060223000151 |
Provider Name | Charles A Dembowski |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447205570 PECOS PAC ID: 9830101716 Enrollment ID: I20060614000043 |
Provider Name | Melinda Burwell |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689841447 PECOS PAC ID: 4688749922 Enrollment ID: I20080820000580 |
Provider Name | Donald C Schuessler |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1144212184 PECOS PAC ID: 4183673114 Enrollment ID: I20101209000081 |
Provider Name | Kenneth H Hilborne |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346218773 PECOS PAC ID: 6608056528 Enrollment ID: I20110210000237 |
Provider Name | Wendy L Frank |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699087171 PECOS PAC ID: 7618149915 Enrollment ID: I20111011000013 |
Provider Name | Amber K Davis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598884967 PECOS PAC ID: 1951577097 Enrollment ID: I20111220000725 |
Provider Name | Debra A Mitchell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639298045 PECOS PAC ID: 7214181247 Enrollment ID: I20130129000133 |
Provider Name | Christine R Thrasher |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871843193 PECOS PAC ID: 1658525571 Enrollment ID: I20130131000082 |
Provider Name | Ernie S Cougler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639514565 PECOS PAC ID: 7517109416 Enrollment ID: I20140623002054 |
Provider Name | Georgia A Hargrave |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790985182 PECOS PAC ID: 3274753702 Enrollment ID: I20141006001756 |
Provider Name | Anne Bender |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891828679 PECOS PAC ID: 2567787211 Enrollment ID: I20150220001897 |
Provider Name | Christine M Couperus-mashewske |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700260221 PECOS PAC ID: 8527375633 Enrollment ID: I20150922000072 |
Provider Name | Melissa J Benardot |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427303353 PECOS PAC ID: 0648244384 Enrollment ID: I20160407001508 |
Provider Name | Tahir Mohammad Anwar |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1497095707 PECOS PAC ID: 1052699261 Enrollment ID: I20161022000111 |
Provider Name | Marcia J Raville |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003929134 PECOS PAC ID: 0446531248 Enrollment ID: I20170111000076 |
Provider Name | Hillary M Heaton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669994190 PECOS PAC ID: 4880967819 Enrollment ID: I20170913001369 |
Provider Name | Donna D Gokey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356858724 PECOS PAC ID: 7911268610 Enrollment ID: I20180220002054 |
Provider Name | Yvonne L Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942730023 PECOS PAC ID: 1254693153 Enrollment ID: I20180312001900 |
Provider Name | Lakshmi Nair |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720588742 PECOS PAC ID: 2769731819 Enrollment ID: I20180822002127 |
Provider Name | Jackline B Ngalame |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861869703 PECOS PAC ID: 4688979842 Enrollment ID: I20190201000139 |
Provider Name | Isabelle A Young |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255962551 PECOS PAC ID: 3779912100 Enrollment ID: I20200406000739 |
Provider Name | Gregory A Hooper |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346545308 PECOS PAC ID: 7416218912 Enrollment ID: I20210212000586 |
Provider Name | Glenda F Jones |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851560999 PECOS PAC ID: 3375836042 Enrollment ID: I20210225001429 |
Provider Name | Danyelle Frantz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497358618 PECOS PAC ID: 6204235450 Enrollment ID: I20210520002126 |
Provider Name | Derek A. Fenton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245923424 PECOS PAC ID: 2961861851 Enrollment ID: I20230711000508 |
Canton Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 W Main St, Canton, NY 13617 Phone: 315-379-4700 | |
Canton Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 39 W Main St, Canton, NY 13617 Phone: 315-379-4700 Fax: 315-713-6512 | |
Canton Family Physicians, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 80 E Main St, East Wing, Suite 1a, Canton, NY 13617 Phone: 315-386-8184 | |
Healey Medical Practice, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Park St, Canton, NY 13617 Phone: 315-379-9158 Fax: 315-379-9604 | |
Canton-potsdam Medical Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 80 East Main Street, Canton, NY 13617 Phone: 315-265-3300 Fax: 315-261-6025 | |
St Lawrence County Public Health - Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 80 State Highway 310 Ste 2, Canton, NY 13617 Phone: 315-386-2325 Fax: 315-386-2203 |