| Highland Medical P.c. | |
|
160 N Midland Ave Nyack NY 10960-1912 | |
| (845) 348-2985 | |
| (845) 348-2102 |
| Full Name | Highland Medical P.c. |
|---|---|
| Speciality | General Practice |
| Location | 160 N Midland Ave, Nyack, New York |
| Authorized Official Name and Position | Michael E. Rader (PC OWNER/PRESIDENT) |
| Authorized Official Contact | 8453482198 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Medical P.c. 160 N Midland Ave Nyack NY 10960-1912 Ph: (845) 348-2985 | Highland Medical P.c. 160 N Midland Ave Nyack NY 10960-1912 Ph: (845) 348-2985 |
| NPI Number | 1376600304 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 10/23/2014 |
| Medicare PECOS PAC ID | 2668370420 |
|---|---|
| Medicare Enrollment ID | O20031230000737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376600304 | NPI | - | NPPES |
| Provider Name | Mano R Zachariah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861552051 PECOS PAC ID: 8921905340 Enrollment ID: I20031215000612 |
| Provider Name | Marc S Zimmerman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568543742 PECOS PAC ID: 9537050901 Enrollment ID: I20040324000136 |
| Provider Name | Milan M Kinkhabwala |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942257282 PECOS PAC ID: 4688668874 Enrollment ID: I20040412000628 |
| Provider Name | Marianna Golden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538236278 PECOS PAC ID: 5890784862 Enrollment ID: I20040507000029 |
| Provider Name | Laurence C Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407800303 PECOS PAC ID: 8224019344 Enrollment ID: I20040525001732 |
| Provider Name | Arthur M Kozin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659339513 PECOS PAC ID: 9335123892 Enrollment ID: I20040614001377 |
| Provider Name | Jonathan S Wolf |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649281486 PECOS PAC ID: 4789668252 Enrollment ID: I20040614001477 |
| Provider Name | Kenneth S Shapiro |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841201670 PECOS PAC ID: 1153305529 Enrollment ID: I20040614001577 |
| Provider Name | Richard W King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780775338 PECOS PAC ID: 1951385095 Enrollment ID: I20040616000101 |
| Provider Name | Irina Rybalova |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386864486 PECOS PAC ID: 9830169036 Enrollment ID: I20040727000456 |
| Provider Name | Karen Bergstein |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184614794 PECOS PAC ID: 3971573312 Enrollment ID: I20040730001148 |
| Provider Name | Duane A Bryan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457370728 PECOS PAC ID: 6507838729 Enrollment ID: I20040809001100 |
| Provider Name | Dennis Domosi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568451995 PECOS PAC ID: 5496720369 Enrollment ID: I20040902000074 |
| Provider Name | Yvette H Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518918424 PECOS PAC ID: 4284602996 Enrollment ID: I20040921000489 |
| Provider Name | Liviu Nastase |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922019165 PECOS PAC ID: 0143294249 Enrollment ID: I20040930001229 |
| Provider Name | Theodore M Hale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851469472 PECOS PAC ID: 2860451614 Enrollment ID: I20041007000064 |
| Provider Name | Giacomo V Vinces |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861500258 PECOS PAC ID: 7517927015 Enrollment ID: I20041018001071 |
| Provider Name | Maria M Emerson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043308430 PECOS PAC ID: 8224096144 Enrollment ID: I20041223000219 |
| Provider Name | Arthur E Appel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558355107 PECOS PAC ID: 3577518984 Enrollment ID: I20050318000391 |
| Provider Name | Carin S Shapiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336217850 PECOS PAC ID: 3678513538 Enrollment ID: I20050510000717 |
| Provider Name | Koshnaf Antar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720194152 PECOS PAC ID: 6204730807 Enrollment ID: I20050510000773 |
| Provider Name | Jonathan Jakus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033108451 PECOS PAC ID: 8628034501 Enrollment ID: I20051011001097 |
| Provider Name | Jason Faller |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558352740 PECOS PAC ID: 3072538669 Enrollment ID: I20051012001073 |
| Provider Name | Michael J Akerman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821082074 PECOS PAC ID: 4880613223 Enrollment ID: I20051115000928 |
| Provider Name | Gerard F Sykes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013057991 PECOS PAC ID: 1658390497 Enrollment ID: I20051122000130 |
| Provider Name | Earl Zeitlin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629130679 PECOS PAC ID: 2365473303 Enrollment ID: I20060118000999 |
| Provider Name | Marc D London |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720140767 PECOS PAC ID: 6800827841 Enrollment ID: I20060118001031 |
| Provider Name | Mathew Lonberg |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235186065 PECOS PAC ID: 5496763823 Enrollment ID: I20060327000920 |
| Provider Name | Nelly J Oundjian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467549832 PECOS PAC ID: 8022044023 Enrollment ID: I20070621000589 |
| Provider Name | Adrienne Fueg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891890554 PECOS PAC ID: 5092808642 Enrollment ID: I20070912000578 |
| Provider Name | Aleksandr Rakhlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750448635 PECOS PAC ID: 8628178332 Enrollment ID: I20070925000040 |
| Provider Name | Anita Bhola |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972684397 PECOS PAC ID: 4789764788 Enrollment ID: I20080103000314 |
| Provider Name | Robert John March |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801005012 PECOS PAC ID: 6204914427 Enrollment ID: I20080429000019 |
| Provider Name | Daniel J Addanki |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023281342 PECOS PAC ID: 9335214600 Enrollment ID: I20080821000006 |
| Provider Name | Sunny D Mitchell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003070681 PECOS PAC ID: 8123189933 Enrollment ID: I20081211000137 |
| Provider Name | Bradley James Cohen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801839113 PECOS PAC ID: 1456415371 Enrollment ID: I20090130000497 |
| Provider Name | Jennifer A Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346459591 PECOS PAC ID: 5092871483 Enrollment ID: I20090310000564 |
| Provider Name | Jared S Corriel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518108182 PECOS PAC ID: 7113077496 Enrollment ID: I20090608000402 |
| Provider Name | David Hodes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295720647 PECOS PAC ID: 6305983362 Enrollment ID: I20091023000025 |
| Provider Name | Lorraine Olivero-brodeur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033294301 PECOS PAC ID: 7719024785 Enrollment ID: I20091023000087 |
| Provider Name | Vincent M Ibelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033119599 PECOS PAC ID: 6901943836 Enrollment ID: I20091027000281 |
| Provider Name | Bruce E Levitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447321310 PECOS PAC ID: 3577606979 Enrollment ID: I20100211000518 |
| Provider Name | Howard J Feldfogel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912078882 PECOS PAC ID: 1850434259 Enrollment ID: I20100212000178 |
| Provider Name | Charles E Odowd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508937467 PECOS PAC ID: 9032252432 Enrollment ID: I20100212000224 |
| Provider Name | John J Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952472813 PECOS PAC ID: 4587707989 Enrollment ID: I20100212000285 |
| Provider Name | Robbi Kempner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275560013 PECOS PAC ID: 2264591874 Enrollment ID: I20100217000162 |
| Provider Name | Denise Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306060454 PECOS PAC ID: 3870628621 Enrollment ID: I20100318000057 |
| Provider Name | Catherine Brunner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073694261 PECOS PAC ID: 1557496171 Enrollment ID: I20100320000141 |
| Provider Name | Sharon S Quayle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992774715 PECOS PAC ID: 3577690916 Enrollment ID: I20100423000636 |
| Provider Name | Irene Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558357574 PECOS PAC ID: 1759418197 Enrollment ID: I20100429000985 |
| Provider Name | Joseph J Maselli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548256720 PECOS PAC ID: 0840327284 Enrollment ID: I20100430000000 |
| Provider Name | Lawrence F Simon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710045281 PECOS PAC ID: 9537293758 Enrollment ID: I20100810000536 |
| Provider Name | Ellen L Kotwas-song |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285892398 PECOS PAC ID: 1658564729 Enrollment ID: I20101021000257 |
| Provider Name | Dimitri Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114184637 PECOS PAC ID: 1759561715 Enrollment ID: I20110208000522 |
| Provider Name | Lee S Fleischer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275541021 PECOS PAC ID: 5799882346 Enrollment ID: I20110208000785 |
| Provider Name | David R Dorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124034152 PECOS PAC ID: 5597948950 Enrollment ID: I20110322000605 |
| Provider Name | Kenneth B Svensson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750490314 PECOS PAC ID: 0941485361 Enrollment ID: I20110429000186 |
| Provider Name | Ronald A Stern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659397651 PECOS PAC ID: 0042496937 Enrollment ID: I20110510000497 |
| Provider Name | Michael J Tracz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528032521 PECOS PAC ID: 0042256968 Enrollment ID: I20110516000554 |
| Provider Name | Igor Genkin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700802972 PECOS PAC ID: 6507803525 Enrollment ID: I20110519000235 |
| Provider Name | Amy Eisenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639469042 PECOS PAC ID: 1759568330 Enrollment ID: I20110608000095 |
| Provider Name | David B Southren |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770502031 PECOS PAC ID: 1759329311 Enrollment ID: I20110805000056 |
| Provider Name | Steven Yablon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699786251 PECOS PAC ID: 0446284996 Enrollment ID: I20111104000530 |
| Provider Name | Christos L Paras |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437314457 PECOS PAC ID: 1951597236 Enrollment ID: I20120124000961 |
| Provider Name | Ellen Brunetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902008238 PECOS PAC ID: 6507028388 Enrollment ID: I20120425000103 |
| Provider Name | Michael I Levy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912124959 PECOS PAC ID: 4981868023 Enrollment ID: I20120621000091 |
| Provider Name | Jay A Graham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932116530 PECOS PAC ID: 2365440906 Enrollment ID: I20120809000094 |
| Provider Name | Aleksandra Mamorska Dyga |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467735472 PECOS PAC ID: 7911145370 Enrollment ID: I20130524000667 |
| Provider Name | Ellen M Essig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568713378 PECOS PAC ID: 3577705912 Enrollment ID: I20130814000215 |
| Provider Name | Sung Ho Lee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841426780 PECOS PAC ID: 3971771270 Enrollment ID: I20130905000019 |
| Provider Name | William S Melvin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861445090 PECOS PAC ID: 5496653693 Enrollment ID: I20140314000303 |
| Provider Name | Murali G Krishna |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871797431 PECOS PAC ID: 6709035249 Enrollment ID: I20140723000973 |
| Provider Name | Noble Kurian Jacob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851736854 PECOS PAC ID: 6800015074 Enrollment ID: I20140920000210 |
| Provider Name | Mohini Gurme |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316173156 PECOS PAC ID: 3779805791 Enrollment ID: I20141202001997 |
| Provider Name | Dana Corriel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215035886 PECOS PAC ID: 0547481772 Enrollment ID: I20141230002092 |
| Provider Name | Debra Gilhooly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023222536 PECOS PAC ID: 2860711538 Enrollment ID: I20150430000819 |
| Provider Name | Dana Laise |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538411749 PECOS PAC ID: 5294046165 Enrollment ID: I20150618001414 |
| Provider Name | Peter Muscarella |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578518049 PECOS PAC ID: 5092702654 Enrollment ID: I20150729009898 |
| Provider Name | Deborah Kendrick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811310154 PECOS PAC ID: 8224334040 Enrollment ID: I20160304000179 |
| Provider Name | Jacqueline Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083971907 PECOS PAC ID: 3375840226 Enrollment ID: I20160321002253 |
| Provider Name | Attasit Chokechanachaisakul |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659517605 PECOS PAC ID: 1254639644 Enrollment ID: I20160419001127 |
| Provider Name | Sarika Rohllf |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497120331 PECOS PAC ID: 1557656006 Enrollment ID: I20160823000551 |
| Provider Name | Andrew Erian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902167323 PECOS PAC ID: 1153564265 Enrollment ID: I20160908001791 |
| Provider Name | Renee Huang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700041902 PECOS PAC ID: 8123269370 Enrollment ID: I20161005002127 |
| Provider Name | Stefanie Ferraro |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053854869 PECOS PAC ID: 2264713999 Enrollment ID: I20170111001539 |
| Provider Name | Liam Gross |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578862769 PECOS PAC ID: 2567731763 Enrollment ID: I20170630002575 |
| Provider Name | Olga A Tusheva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124466859 PECOS PAC ID: 2264704451 Enrollment ID: I20170823001797 |
| Provider Name | Mikhail A Botvinov |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760685622 PECOS PAC ID: 8022259092 Enrollment ID: I20180223000532 |
| Provider Name | Natasha Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235443276 PECOS PAC ID: 5698904258 Enrollment ID: I20180815000803 |
| Provider Name | Devjit Roy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891058996 PECOS PAC ID: 5890918882 Enrollment ID: I20190123002886 |
| Provider Name | Kristina Blanche Hess |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649825209 PECOS PAC ID: 8820328610 Enrollment ID: I20190920000903 |
| Provider Name | Anastasiya B Skorobogatova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740833375 PECOS PAC ID: 8426482969 Enrollment ID: I20191217000249 |
| Provider Name | Pavela Saha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770971954 PECOS PAC ID: 1951611631 Enrollment ID: I20200224002367 |
| Provider Name | Ann Pia Baby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619363090 PECOS PAC ID: 7113348285 Enrollment ID: I20200527001634 |
| Provider Name | Naji Abdul Wajid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326499096 PECOS PAC ID: 0446595409 Enrollment ID: I20200701001532 |
| Provider Name | Grace O Asante |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073943361 PECOS PAC ID: 9739595570 Enrollment ID: I20210303000523 |
| Provider Name | Serena C Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356933527 PECOS PAC ID: 7113326232 Enrollment ID: I20210521002062 |
| Provider Name | Doris Okotie |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811246671 PECOS PAC ID: 4385885631 Enrollment ID: I20220117000061 |
| Provider Name | Ziad Kronfol |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1871750984 PECOS PAC ID: 6709194863 Enrollment ID: I20220316001573 |
| Provider Name | Delfina Margalli |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225798093 PECOS PAC ID: 4981090859 Enrollment ID: I20220331002009 |
| Provider Name | Hernan Parra Freitas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275053092 PECOS PAC ID: 4981084993 Enrollment ID: I20220708001142 |
Hospitalist Medicine Physician Of New York - Nyack, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 160 N Midland Ave, Nyack, NY 10960 Phone: 845-348-2000 | |
E. D. Battles, Jr., M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Salisbury Pt, Nyack, NY 10960 Phone: 845-358-4674 Fax: 845-358-4869 | |
Boris Melnikau Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 N Midland Ave Ste 2, Nyack, NY 10960 Phone: 917-306-7820 | |
Integrative Wellness Family Health Np Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Main St #542, Nyack, NY 10960 Phone: 845-204-8608 | |
Nyack Medical Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 169 Main St, Nyack, NY 10960 Phone: 845-353-3343 Fax: 845-353-3379 | |
Usman Siddiqui Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 N Midland Ave Ste 2, Nyack, NY 10960 Phone: 845-358-5006 Fax: 845-358-4340 |