| Memorial Clinical Physiology Group | |
|
1275 York Ave New York NY 10021-6007 | |
| (646) 227-3813 | |
| Not Available |
| Full Name | Memorial Clinical Physiology Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1275 York Ave, New York, New York |
| Authorized Official Name and Position | Salvatore M Andreozzi (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 6462273751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Clinical Physiology Group 633 3rd Ave Box 3 New York NY 10017-6706 Ph: () - | Memorial Clinical Physiology Group 1275 York Ave New York NY 10021-6007 Ph: (646) 227-3813 |
| NPI Number | 1043281512 |
|---|---|
| Provider Enumeration Date | 01/31/2006 |
| Last Update Date | 02/20/2008 |
| Medicare PECOS PAC ID | 3678464716 |
|---|---|
| Medicare Enrollment ID | O20040320000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043281512 | NPI | - | NPPES |
| Provider Name | Ilya G Glezerman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821069865 PECOS PAC ID: 0749171486 Enrollment ID: I20040323000538 |
| Provider Name | Sheron Latcha |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1720172943 PECOS PAC ID: 6103849849 Enrollment ID: I20060109001087 |
| Provider Name | Lauren M Panico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063675122 PECOS PAC ID: 6204974264 Enrollment ID: I20091111000491 |
| Provider Name | Muthukumar Thangamani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427218684 PECOS PAC ID: 9133254451 Enrollment ID: I20100311000888 |
| Provider Name | Carlos D Flombaum |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326074014 PECOS PAC ID: 7810185790 Enrollment ID: I20101218000057 |
| Provider Name | Alan M Weinstein |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518938026 PECOS PAC ID: 7911196548 Enrollment ID: I20110112000562 |
| Provider Name | Edgar A Jaimes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376572669 PECOS PAC ID: 1456423821 Enrollment ID: I20140904000212 |
| Provider Name | Roman A Shingarev |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457564601 PECOS PAC ID: 0941470900 Enrollment ID: I20150813011552 |
| Provider Name | Anastasia Kanellopoulos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750781373 PECOS PAC ID: 4486970548 Enrollment ID: I20160822002231 |
| Provider Name | Insara J Jaffer Sathick |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508170150 PECOS PAC ID: 5193973550 Enrollment ID: I20161024002358 |
| Provider Name | Phat X Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992172068 PECOS PAC ID: 6507141447 Enrollment ID: I20170316000970 |
| Provider Name | Jessica M Abukoush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760934160 PECOS PAC ID: 6709153141 Enrollment ID: I20170606001978 |
| Provider Name | Patricia Sterlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376900472 PECOS PAC ID: 5395013577 Enrollment ID: I20170612001343 |
| Provider Name | Jeanok Youn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013464502 PECOS PAC ID: 1850664111 Enrollment ID: I20170907003106 |
| Provider Name | Amanda E Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306298401 PECOS PAC ID: 5597053587 Enrollment ID: I20171026002285 |
| Provider Name | Julia Cereda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790204865 PECOS PAC ID: 2264794833 Enrollment ID: I20180319001421 |
| Provider Name | Lisa A Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790144475 PECOS PAC ID: 9234422007 Enrollment ID: I20180319001923 |
| Provider Name | Mary H Riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952814097 PECOS PAC ID: 8628331311 Enrollment ID: I20180411000213 |
| Provider Name | Stacy Alabastro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205314937 PECOS PAC ID: 1254675085 Enrollment ID: I20181205003289 |
| Provider Name | Pauline Kuriakose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265911648 PECOS PAC ID: 3779821012 Enrollment ID: I20190213000224 |
| Provider Name | Victoria Gutgarts |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851736748 PECOS PAC ID: 5698003671 Enrollment ID: I20190829000666 |
| Provider Name | Brittany A Hudgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457721797 PECOS PAC ID: 9436453131 Enrollment ID: I20190904002192 |
| Provider Name | Katherine E Degregorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689232332 PECOS PAC ID: 5597197830 Enrollment ID: I20191107001493 |
| Provider Name | Thalia Salinas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255718136 PECOS PAC ID: 4688099260 Enrollment ID: I20200729002702 |
| Provider Name | Emad A Alahiri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154783801 PECOS PAC ID: 7214358969 Enrollment ID: I20210126000327 |
| Provider Name | Catherine Kobza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952901084 PECOS PAC ID: 3779997176 Enrollment ID: I20210126002580 |
| Provider Name | Aisha Shaikh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497734891 PECOS PAC ID: 8921037128 Enrollment ID: I20210524001744 |
| Provider Name | Tarring T Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245823442 PECOS PAC ID: 0941699243 Enrollment ID: I20211108000789 |
| Provider Name | Katherine Sturm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861063620 PECOS PAC ID: 9335538453 Enrollment ID: I20211111001046 |
| Provider Name | Penina P Ben-yosef |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275263667 PECOS PAC ID: 3173994605 Enrollment ID: I20230120001225 |
| Provider Name | Irene Petrocelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053039701 PECOS PAC ID: 8325412281 Enrollment ID: I20230316002008 |
| Provider Name | Valerye W Ng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386328656 PECOS PAC ID: 4284081399 Enrollment ID: I20231111000247 |
| Provider Name | Angela B Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619650819 PECOS PAC ID: 5193172070 Enrollment ID: I20231115000077 |
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 |