| Mark J Coronel Md Pc | |
|
34 Commerce Ave Riverhead NY 11901-3118 | |
| (631) 591-3000 | |
| (631) 591-1734 |
| Full Name | Mark J Coronel Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 34 Commerce Ave, Riverhead, New York |
| Authorized Official Name and Position | Mark J. Coronel (PHYSICIAN) |
| Authorized Official Contact | 6315913000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J Coronel Md Pc 34 Commerce Ave Riverhead NY 11901-3118 Ph: (631) 591-3000 | Mark J Coronel Md Pc 34 Commerce Ave Riverhead NY 11901-3118 Ph: (631) 591-3000 |
| NPI Number | 1639445869 |
|---|---|
| Provider Enumeration Date | 04/02/2012 |
| Last Update Date | 04/02/2012 |
| Medicare PECOS PAC ID | 5890958979 |
|---|---|
| Medicare Enrollment ID | O20120530000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639445869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | James Missig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093819484 PECOS PAC ID: 2668386285 Enrollment ID: I20031118000487 |
| Provider Name | Nancy Johnstone-bradshaw |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699776278 PECOS PAC ID: 7113816885 Enrollment ID: I20040311000749 |
| Provider Name | Kevin E Hinphy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770641367 PECOS PAC ID: 9032109582 Enrollment ID: I20040517000047 |
| Provider Name | Xiaochang J Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619973625 PECOS PAC ID: 8527046952 Enrollment ID: I20040712000524 |
| Provider Name | Pedro Cabrera |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053418764 PECOS PAC ID: 1658344064 Enrollment ID: I20040814000025 |
| Provider Name | Robert Regis Dawson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710979372 PECOS PAC ID: 2466425400 Enrollment ID: I20041112000016 |
| Provider Name | Richard Swerdlik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760558266 PECOS PAC ID: 6002869989 Enrollment ID: I20050303000121 |
| Provider Name | Steven Frank Macharola |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265571236 PECOS PAC ID: 1052334976 Enrollment ID: I20060106000193 |
| Provider Name | Mark J Coronel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346416963 PECOS PAC ID: 0042387227 Enrollment ID: I20080930000620 |
| Provider Name | Cyzar Arca |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942376173 PECOS PAC ID: 8022160688 Enrollment ID: I20090714000185 |
| Provider Name | Avishai T Neuman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093908022 PECOS PAC ID: 5890829410 Enrollment ID: I20100818000939 |
| Provider Name | Alexander Nelken |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619142882 PECOS PAC ID: 6204028202 Enrollment ID: I20101008000738 |
| Provider Name | Shanon J Kleinman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184939985 PECOS PAC ID: 0446447395 Enrollment ID: I20110823000865 |
| Provider Name | Kimberly A Riegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851417786 PECOS PAC ID: 8921278961 Enrollment ID: I20110830000216 |
| Provider Name | Siraj Ashok Bhadsavle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467616714 PECOS PAC ID: 7517131295 Enrollment ID: I20111115000038 |
| Provider Name | Michael Reens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639457286 PECOS PAC ID: 3173797289 Enrollment ID: I20111129000142 |
| Provider Name | Vladimir M Pevzner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790793503 PECOS PAC ID: 8325112865 Enrollment ID: I20141028001935 |
| Provider Name | Simcha Z Herrmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578796215 PECOS PAC ID: 3476869561 Enrollment ID: I20150903002719 |
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