| Lagrangeville Medical Pc | |
|
71 Franklin Ave Franklin Square NY 11010-2523 | |
| (212) 404-0362 | |
| Not Available |
| Full Name | Lagrangeville Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 71 Franklin Ave, Franklin Square, New York |
| Authorized Official Name and Position | Rana Hassan (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3478859963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lagrangeville Medical Pc 71 Franklin Ave Franklin Square NY 11010-2523 Ph: (718) 925-2974 | Lagrangeville Medical Pc 71 Franklin Ave Franklin Square NY 11010-2523 Ph: (212) 404-0362 |
| NPI Number | 1861153322 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 11/01/2024 |
| Medicare PECOS PAC ID | 8527440148 |
|---|---|
| Medicare Enrollment ID | O20220729000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861153322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rana Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467450759 PECOS PAC ID: 7012800022 Enrollment ID: I20040406000124 |
| Provider Name | Sandy Marie Weekes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316221237 PECOS PAC ID: 6406003045 Enrollment ID: I20120904000404 |
| Provider Name | Jonathan Martinez Dalmasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881093409 PECOS PAC ID: 5698054518 Enrollment ID: I20161117000916 |
| Provider Name | Richa Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265844146 PECOS PAC ID: 9638445257 Enrollment ID: I20171026003070 |
| Provider Name | Tanvir Shagar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144722042 PECOS PAC ID: 3577826395 Enrollment ID: I20180409002302 |
| Provider Name | Henry M Baquiran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093863508 PECOS PAC ID: 7214991942 Enrollment ID: I20180926002014 |
| Provider Name | Victoria L Sully |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477824670 PECOS PAC ID: 8325391857 Enrollment ID: I20181030001026 |
| Provider Name | Latoya Tamara Monique Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811408024 PECOS PAC ID: 5890121990 Enrollment ID: I20200210001387 |
| Provider Name | Melikset Vardanyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639702905 PECOS PAC ID: 5890108468 Enrollment ID: I20201229001887 |
| Provider Name | Grace Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104365303 PECOS PAC ID: 6608280839 Enrollment ID: I20210130000035 |
| Provider Name | Quamrun N Nabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629644729 PECOS PAC ID: 5496133456 Enrollment ID: I20220602002093 |
| Provider Name | May G Tong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245959261 PECOS PAC ID: 2961878665 Enrollment ID: I20221020003090 |
| Provider Name | Tanya Zarkhina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710602552 PECOS PAC ID: 4880068139 Enrollment ID: I20230328001432 |
| Provider Name | Christie Nesifort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477230415 PECOS PAC ID: 0941663900 Enrollment ID: I20230824001367 |
| Provider Name | Alexei Zhadkevich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760642268 PECOS PAC ID: 5698078533 Enrollment ID: I20230907002163 |
| Provider Name | Ashley Breanna Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134866205 PECOS PAC ID: 0244686335 Enrollment ID: I20231025003490 |
| Provider Name | Hosam Atoom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336593706 PECOS PAC ID: 4284069535 Enrollment ID: I20240102003267 |
| Provider Name | Chikodiri Np Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952067282 PECOS PAC ID: 2466803093 Enrollment ID: I20240109000818 |
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