| Medical Associate Of Wall Street, P.c. | |
|
6 Maiden Ln Rm 500 New York NY 10038-5140 | |
| (212) 233-3040 | |
| (212) 349-7529 |
| Full Name | Medical Associate Of Wall Street, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6 Maiden Ln Rm 500, New York, New York |
| Authorized Official Name and Position | Glenn Gandelman (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2122333040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associate Of Wall Street, P.c. 81 Holly Hill Ln Fl 3 Greenwich CT 06830-6071 Ph: (203) 869-8515 | Medical Associate Of Wall Street, P.c. 6 Maiden Ln Rm 500 New York NY 10038-5140 Ph: (212) 233-3040 |
| NPI Number | 1912272592 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 09/20/2022 |
| Medicare PECOS PAC ID | 1658598198 |
|---|---|
| Medicare Enrollment ID | O20140807000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912272592 | NPI | - | NPPES |
| Provider Name | Glenn Gandelman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033117437 PECOS PAC ID: 5294781100 Enrollment ID: I20050323001317 |
| Provider Name | Mary Lou Almanzor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578690657 PECOS PAC ID: 9032496401 Enrollment ID: I20170512000591 |
| Provider Name | Aswathy Somarajan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366024952 PECOS PAC ID: 5991182974 Enrollment ID: I20220512001036 |
| Provider Name | Pilar Giffenig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215544945 PECOS PAC ID: 3870958986 Enrollment ID: I20230425001035 |
| Provider Name | Jancy Roensa Victoria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568988665 PECOS PAC ID: 9638420417 Enrollment ID: I20231110000334 |
| Provider Name | Ryan Zagalsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053834879 PECOS PAC ID: 9537425194 Enrollment ID: I20240423001162 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
Debra Green, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 | |
S. Nadesan Physician, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 | |
Avraham Y Henoch Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 | |
Vincent Esposito Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
Jeffrey Glick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 | |
Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |