| Endocrine Associate Of West Village Pc | |
|
3636 33rd St Ste 311 Long Island City NY 11106-2329 | |
| (718) 704-5376 | |
| (347) 507-0478 |
| Full Name | Endocrine Associate Of West Village Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3636 33rd St Ste 311, Long Island City, New York |
| Authorized Official Name and Position | Anastassios Manessis (OWNER) |
| Authorized Official Contact | 9177552007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrine Associate Of West Village Pc 3636 33rd St Ste 311 Long Island City NY 11106-2329 Ph: (718) 704-5376 | Endocrine Associate Of West Village Pc 3636 33rd St Ste 311 Long Island City NY 11106-2329 Ph: (718) 704-5376 |
| NPI Number | 1992007819 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 02/07/2022 |
| Medicare PECOS PAC ID | 7113102591 |
|---|---|
| Medicare Enrollment ID | O20110428000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992007819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Maria A Patruno |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720011471 PECOS PAC ID: 1951317999 Enrollment ID: I20060228000313 |
| Provider Name | Anthony R Iorio |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1821105966 PECOS PAC ID: 9537125455 Enrollment ID: I20070622000479 |
| Provider Name | Anastasios Manessis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467615823 PECOS PAC ID: 0446324438 Enrollment ID: I20080809000005 |
| Provider Name | Mon Hsia Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538209952 PECOS PAC ID: 6800961806 Enrollment ID: I20080826000067 |
| Provider Name | Paulina P Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760810840 PECOS PAC ID: 5395046015 Enrollment ID: I20151222000457 |
| Provider Name | Linda X Do |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083718704 PECOS PAC ID: 9234418666 Enrollment ID: I20161108000619 |
| Provider Name | Colette Nelson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952525396 PECOS PAC ID: 1052696234 Enrollment ID: I20170330002235 |
| Provider Name | Juliya Roitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174001549 PECOS PAC ID: 0941552129 Enrollment ID: I20181017000211 |
| Provider Name | Nicole Bari Michaels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518505767 PECOS PAC ID: 0547696908 Enrollment ID: I20200203000897 |
| Provider Name | Brandon Caraballosa |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770033482 PECOS PAC ID: 4688080864 Enrollment ID: I20210312001700 |
| Provider Name | Roseanne Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871201582 PECOS PAC ID: 8921462896 Enrollment ID: I20230911002569 |
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