| Hudson Valley Regional Community Health Centers Inc | |
|
15 Mount Ebo Rd S Brewster NY 10509-4004 | |
| (845) 878-9078 | |
| Not Available |
| Full Name | Hudson Valley Regional Community Health Centers Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 Mount Ebo Rd S, Brewster, New York |
| Authorized Official Name and Position | Howard Yager (CHAIRMAN OF THE BOARD) |
| Authorized Official Contact | 8458789078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Valley Regional Community Health Centers Inc 15 Mount Ebo Rd S Brewster NY 10509-4004 Ph: () - | Hudson Valley Regional Community Health Centers Inc 15 Mount Ebo Rd S Brewster NY 10509-4004 Ph: (845) 878-9078 |
| NPI Number | 1477051589 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 02/14/2018 |
| Medicare PECOS PAC ID | 3779845284 |
|---|---|
| Medicare Enrollment ID | O20180321002010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477051589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3922200R (New York) | Primary |
| Provider Name | Mary A Vazquez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790805026 PECOS PAC ID: 6002802907 Enrollment ID: I20040426000000 |
| Provider Name | Theresa A Burdick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396882312 PECOS PAC ID: 8820084726 Enrollment ID: I20040426000004 |
| Provider Name | Nandita Nanda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679781447 PECOS PAC ID: 8729074562 Enrollment ID: I20040426000375 |
| Provider Name | Jonathan I Zach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275652885 PECOS PAC ID: 0345236113 Enrollment ID: I20040426000635 |
| Provider Name | Satyanarayana M Narasimhadevara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366412264 PECOS PAC ID: 3577559368 Enrollment ID: I20040426000766 |
| Provider Name | Lori A Duke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730369521 PECOS PAC ID: 2668463134 Enrollment ID: I20040522000009 |
| Provider Name | Sigrid Hahn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912960287 PECOS PAC ID: 9234112855 Enrollment ID: I20040612000289 |
| Provider Name | Anil Bhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558393223 PECOS PAC ID: 6608836515 Enrollment ID: I20041014001162 |
| Provider Name | Norma M Kurtz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033133400 PECOS PAC ID: 8921063637 Enrollment ID: I20041122001010 |
| Provider Name | Gary J Edelstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518003177 PECOS PAC ID: 6800820978 Enrollment ID: I20050920000096 |
| Provider Name | Maulik Trivedi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023108941 PECOS PAC ID: 1456375880 Enrollment ID: I20060124000638 |
| Provider Name | Matthew Kaufman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831308626 PECOS PAC ID: 1254427180 Enrollment ID: I20071129000092 |
| Provider Name | Mansoor A. Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114067667 PECOS PAC ID: 7113023912 Enrollment ID: I20080131000445 |
| Provider Name | Betty Lim |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1548322522 PECOS PAC ID: 9830262096 Enrollment ID: I20080721000738 |
| Provider Name | Deven J Unadkat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205013810 PECOS PAC ID: 2466510722 Enrollment ID: I20081015000584 |
| Provider Name | Janusz E Rudnicki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639260045 PECOS PAC ID: 1951454701 Enrollment ID: I20090728000053 |
| Provider Name | Scott Mankowitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922115435 PECOS PAC ID: 6709884471 Enrollment ID: I20091013000397 |
| Provider Name | Henry L Kamin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518944966 PECOS PAC ID: 3779608203 Enrollment ID: I20100921000367 |
| Provider Name | Jayson Podber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174698427 PECOS PAC ID: 1759284755 Enrollment ID: I20101018001027 |
| Provider Name | Mityanand Ramnarine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215173927 PECOS PAC ID: 9032397245 Enrollment ID: I20110616000685 |
| Provider Name | Patrick Grippo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255449518 PECOS PAC ID: 3678788072 Enrollment ID: I20110803000675 |
| Provider Name | Denise L Dammeyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538290846 PECOS PAC ID: 4789859109 Enrollment ID: I20111214000399 |
| Provider Name | Jason P. Boulware |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013211168 PECOS PAC ID: 8628236387 Enrollment ID: I20120227000387 |
| Provider Name | Ershad Elahi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578726063 PECOS PAC ID: 8729234513 Enrollment ID: I20120810000013 |
| Provider Name | Robert P Greenblatt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104171198 PECOS PAC ID: 5597913889 Enrollment ID: I20120911000544 |
| Provider Name | Alex You |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871854307 PECOS PAC ID: 1052538444 Enrollment ID: I20140807002498 |
| Provider Name | Kristin Hughes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366882862 PECOS PAC ID: 0446493167 Enrollment ID: I20140828000747 |
| Provider Name | Kay Keise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508122508 PECOS PAC ID: 3577712421 Enrollment ID: I20150501001630 |
| Provider Name | Matthew Colantoni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770840209 PECOS PAC ID: 7618289588 Enrollment ID: I20150707000506 |
| Provider Name | Elyssa Barron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851670186 PECOS PAC ID: 3779897871 Enrollment ID: I20150803002328 |
| Provider Name | Jaime A Morales |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588849475 PECOS PAC ID: 4284700873 Enrollment ID: I20151005002086 |
| Provider Name | Peter Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982869467 PECOS PAC ID: 5092995688 Enrollment ID: I20151215001136 |
| Provider Name | Michael Menna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588907356 PECOS PAC ID: 2466744156 Enrollment ID: I20160718001334 |
| Provider Name | Matthew Lobosco |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487896148 PECOS PAC ID: 6204121395 Enrollment ID: I20160829001959 |
| Provider Name | Evan Rene Poncher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942509708 PECOS PAC ID: 1557673472 Enrollment ID: I20160913000160 |
| Provider Name | Jennifer J Ditomaso |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407385503 PECOS PAC ID: 5193090629 Enrollment ID: I20171009002021 |
| Provider Name | Jeanne Marie Damore Vacca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760937452 PECOS PAC ID: 0749548550 Enrollment ID: I20171228001899 |
| Provider Name | Vanessa Micka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295184059 PECOS PAC ID: 6901165836 Enrollment ID: I20180122001532 |
| Provider Name | Simy J Antony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487164141 PECOS PAC ID: 7012277502 Enrollment ID: I20180131003115 |
| Provider Name | Stephen Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558504258 PECOS PAC ID: 7113185117 Enrollment ID: I20180425000361 |
| Provider Name | Glen Gutterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205222528 PECOS PAC ID: 5991052243 Enrollment ID: I20180718002470 |
| Provider Name | Azad John-salimi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639499817 PECOS PAC ID: 0446576292 Enrollment ID: I20181018000589 |
| Provider Name | Benhoor Shamian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841435989 PECOS PAC ID: 0244530616 Enrollment ID: I20190828001971 |
| Provider Name | Eric Paolilli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326521741 PECOS PAC ID: 9638503246 Enrollment ID: I20200107000236 |
| Provider Name | Omar Taha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841618303 PECOS PAC ID: 1355686312 Enrollment ID: I20200512003241 |
| Provider Name | Sin Chu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912387770 PECOS PAC ID: 9830510205 Enrollment ID: I20201130002123 |
| Provider Name | Kevin James Barber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952798936 PECOS PAC ID: 6305117037 Enrollment ID: I20201218000998 |
| Provider Name | Maria O Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548424997 PECOS PAC ID: 3476887704 Enrollment ID: I20210125000200 |
| Provider Name | Alexandra Elyse Murray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932595287 PECOS PAC ID: 7517244296 Enrollment ID: I20210125000827 |
| Provider Name | Sandra Asiedu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154088565 PECOS PAC ID: 3274929229 Enrollment ID: I20220331001188 |
| Provider Name | Kyle C O'rourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467972422 PECOS PAC ID: 0446626139 Enrollment ID: I20221020002901 |
| Provider Name | Inkeong Sikora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689309627 PECOS PAC ID: 9638548027 Enrollment ID: I20221206003132 |
| Provider Name | Alexander Dorrough |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1821612201 PECOS PAC ID: 1355708660 Enrollment ID: I20230601000417 |
| Provider Name | Andrew Moskowitz |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124125844 PECOS PAC ID: 9638537376 Enrollment ID: I20230628000438 |
Open Door Family Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 155 Main St, Brewster, NY 10509 Phone: 845-279-6999 Fax: 845-279-0908 | |
Northern Medical Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Clock Tower Commons, Brewster, NY 10509 Phone: 845-279-5187 Fax: 845-279-5168 | |
Scott Gerson, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 584 Milltown Road, Brewster, NY 10509 Phone: 845-278-8700 Fax: 845-278-8215 | |
Mmc Obs/gyn Brewster Branch Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1663 Route 22, Colonial Square, Brewster, NY 10509 Phone: 914-997-1088 | |
Route 22 Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1591 Route 22, Brewster, NY 10509 Phone: 845-278-8797 Fax: 845-278-8798 | |
Claudia Lampel Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Route 22, Suite B102, Brewster, NY 10509 Phone: 914-310-6844 Fax: 914-206-3698 |