Hudson Vista Medical,pc | |
1510 Route 9w Suite 102 Marlboro NY 12542-5425 | |
(845) 795-5500 | |
Not Available |
Full Name | Hudson Vista Medical,pc |
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Speciality | Internal Medicine |
Location | 1510 Route 9w, Marlboro, New York |
Authorized Official Name and Position | Thomas Gibney (SECRETARY) |
Authorized Official Contact | 8455682881 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hudson Vista Medical,pc 70 Dubois Street 5th Floor Administration Newburgh NY 12550 Ph: (845) 458-4855 | Hudson Vista Medical,pc 1510 Route 9w Suite 102 Marlboro NY 12542-5425 Ph: (845) 795-5500 |
NPI Number | 1659666840 |
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Provider Enumeration Date | 06/15/2011 |
Last Update Date | 10/28/2015 |
Medicare PECOS PAC ID | 8628240215 |
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Medicare Enrollment ID | O20111003000643 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659666840 | NPI | - | NPPES |
03377979 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (New York) | Primary |
208600000X | Surgery | (New York) | Secondary |
Provider Name | David Harrison |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1427157478 PECOS PAC ID: 4880675909 Enrollment ID: I20040525001750 |
Provider Name | Lisa Sager |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699717710 PECOS PAC ID: 8022078781 Enrollment ID: I20041016000125 |
Provider Name | Diana Linetskaya |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1932256179 PECOS PAC ID: 3072576636 Enrollment ID: I20041105000175 |
Provider Name | Olanrewaju Somorin |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1679661979 PECOS PAC ID: 1557324852 Enrollment ID: I20041108000914 |
Provider Name | Anjali N Shah |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831101757 PECOS PAC ID: 1557325917 Enrollment ID: I20041116000147 |
Provider Name | Teresa M Alasio |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1396705422 PECOS PAC ID: 6800818113 Enrollment ID: I20051230000246 |
Provider Name | Alice J Looney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942288261 PECOS PAC ID: 2961409313 Enrollment ID: I20061027000501 |
Provider Name | David E Rubin |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1790729960 PECOS PAC ID: 7618937186 Enrollment ID: I20070628000046 |
Provider Name | Hemlata Carr |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386817948 PECOS PAC ID: 9133206949 Enrollment ID: I20080403000326 |
Provider Name | Paul Reichman |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1225114978 PECOS PAC ID: 8123102209 Enrollment ID: I20080627000005 |
Provider Name | Margarita Kogan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437350923 PECOS PAC ID: 9032286935 Enrollment ID: I20080918000291 |
Provider Name | Nicholas G Bambino |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1417967514 PECOS PAC ID: 9638206626 Enrollment ID: I20100422001004 |
Provider Name | Christine Elizabeth Jelalian |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1508859406 PECOS PAC ID: 0648188920 Enrollment ID: I20100727000202 |
Provider Name | Susan Martino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609051879 PECOS PAC ID: 4183757834 Enrollment ID: I20100802000149 |
Provider Name | Yu Wang |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1194798736 PECOS PAC ID: 1658455001 Enrollment ID: I20101112001133 |
Provider Name | Rakesh K Abbi |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1669447009 PECOS PAC ID: 1355536566 Enrollment ID: I20101113000259 |
Provider Name | James V Dilorenzo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497852909 PECOS PAC ID: 1951583103 Enrollment ID: I20110309000031 |
Provider Name | Jonathan R Fugo |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1407056534 PECOS PAC ID: 4284806654 Enrollment ID: I20111006000439 |
Provider Name | Daniel J Maughan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053609776 PECOS PAC ID: 1759555295 Enrollment ID: I20111121000077 |
Provider Name | Benjamin Chukwuocha |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083739817 PECOS PAC ID: 8224292701 Enrollment ID: I20120613000366 |
Provider Name | Manita Sawhney |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255564969 PECOS PAC ID: 9234385311 Enrollment ID: I20120806000122 |
Provider Name | Uticia Belfield |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235369042 PECOS PAC ID: 0042466575 Enrollment ID: I20120815000629 |
Provider Name | Joshua N Vernatter |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1215176540 PECOS PAC ID: 6901057116 Enrollment ID: I20121116000530 |
Provider Name | Travis S Kipping |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1144533571 PECOS PAC ID: 9739333402 Enrollment ID: I20130205000013 |
Provider Name | Lisa Thayer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023050879 PECOS PAC ID: 7719128503 Enrollment ID: I20130719000540 |
Provider Name | David Michael Campanaro |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033351978 PECOS PAC ID: 3971821000 Enrollment ID: I20150421001240 |
Provider Name | Lauren A Licata |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1023337763 PECOS PAC ID: 8527284546 Enrollment ID: I20150930002364 |
Provider Name | Danielle C Belser |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1497066187 PECOS PAC ID: 9436371457 Enrollment ID: I20160623001629 |
Provider Name | Kirti Joseph |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952661274 PECOS PAC ID: 1052699501 Enrollment ID: I20161103001265 |
Provider Name | Benjamin A Margolis |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1770876922 PECOS PAC ID: 5597087841 Enrollment ID: I20170721000309 |
Provider Name | Vadim Meytes |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1811255003 PECOS PAC ID: 5799058301 Enrollment ID: I20170901002217 |
Provider Name | Ayodeji O Nubi |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1962709865 PECOS PAC ID: 8820254477 Enrollment ID: I20180518000706 |
Provider Name | German Restrepo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023332848 PECOS PAC ID: 7810252103 Enrollment ID: I20180817002369 |
Provider Name | Syed A Qamer |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043536436 PECOS PAC ID: 2668772831 Enrollment ID: I20190507002301 |
Provider Name | Katherine Pinheiro |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1982922464 PECOS PAC ID: 8820328958 Enrollment ID: I20191002002347 |
Provider Name | Nicole Corazon Agcanas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871943373 PECOS PAC ID: 9032459771 Enrollment ID: I20191203000283 |
Provider Name | Stephanie Pulikkottil Joseph |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1548558133 PECOS PAC ID: 2668788308 Enrollment ID: I20210202001273 |
Provider Name | Amalthea U.r.p. Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295327864 PECOS PAC ID: 6709293863 Enrollment ID: I20210408000156 |
Provider Name | Kazell A Penalosa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215695077 PECOS PAC ID: 4981097730 Enrollment ID: I20220131002069 |
Provider Name | Kaitlin Yocum |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871254813 PECOS PAC ID: 1254724446 Enrollment ID: I20220211000104 |
Provider Name | Erin A Skrobanski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457073637 PECOS PAC ID: 1557732062 Enrollment ID: I20230120000290 |
Provider Name | Patricia D Tuber |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1184960387 PECOS PAC ID: 1658718895 Enrollment ID: I20240322002545 |
J Gersch Physical Therapy Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 Route 9w Ste 1, Marlboro, NY 12542 Phone: 845-691-9169 Fax: 845-691-3864 |