| Memorial Hospital, Albany, N.y. | |
|
600 Northern Blvd Albany NY 12204-1004 | |
| (518) 471-3221 | |
| (518) 471-3254 |
| Full Name | Memorial Hospital, Albany, N.y. |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 600 Northern Blvd, Albany, New York |
| Authorized Official Name and Position | Lori Santos (CFO) |
| Authorized Official Contact | 5185255537 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Hospital, Albany, N.y. Po Box 14890 Albany NY 12212-4890 Ph: () - | Memorial Hospital, Albany, N.y. 600 Northern Blvd Albany NY 12204-1004 Ph: (518) 471-3221 |
| NPI Number | 1801837539 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 04/03/2020 |
| Medicare PECOS PAC ID | 1052203312 |
|---|---|
| Medicare Enrollment ID | O20040330000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801837539 | NPI | - | NPPES |
| 00364003 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | 0101003H (New York) | Primary |
| Provider Name | Brian P Murray |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083659072 PECOS PAC ID: 0547166324 Enrollment ID: I20031211000698 |
| Provider Name | Leah R Berkery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073509691 PECOS PAC ID: 1557352440 Enrollment ID: I20040519001567 |
| Provider Name | Abu S Matin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700891249 PECOS PAC ID: 3971581182 Enrollment ID: I20040713000422 |
| Provider Name | Onyekachi Ifudu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073551966 PECOS PAC ID: 0143209080 Enrollment ID: I20040715000363 |
| Provider Name | Karen J Koutsourades |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154310258 PECOS PAC ID: 5799759643 Enrollment ID: I20040825000786 |
| Provider Name | James L Phillip |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720086887 PECOS PAC ID: 3375518491 Enrollment ID: I20040831001459 |
| Provider Name | Alicia A Beardsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245286053 PECOS PAC ID: 1355317850 Enrollment ID: I20040907000709 |
| Provider Name | Ki Tae Mok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366436230 PECOS PAC ID: 6204803604 Enrollment ID: I20040915000205 |
| Provider Name | Constance A Stalker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225140684 PECOS PAC ID: 2668438326 Enrollment ID: I20041203000785 |
| Provider Name | Ghulam A Akbari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639155153 PECOS PAC ID: 6204883291 Enrollment ID: I20050401000334 |
| Provider Name | Mandy L Dreisenstock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932138450 PECOS PAC ID: 9032166756 Enrollment ID: I20050405000947 |
| Provider Name | Jonathan Samuel Waldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669415501 PECOS PAC ID: 8224010137 Enrollment ID: I20050913000392 |
| Provider Name | Alan L Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386734713 PECOS PAC ID: 7012942964 Enrollment ID: I20050929000739 |
| Provider Name | Parvez Jafri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043381296 PECOS PAC ID: 5294752762 Enrollment ID: I20051025000431 |
| Provider Name | David R Arveladze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417990086 PECOS PAC ID: 8123048022 Enrollment ID: I20051206000624 |
| Provider Name | Priyangika Atanikitha Pathirana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376627208 PECOS PAC ID: 3870514532 Enrollment ID: I20051212000632 |
| Provider Name | Gennaro A Daniels |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316099880 PECOS PAC ID: 4880608876 Enrollment ID: I20060130000204 |
| Provider Name | Srinadh Yarra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750369385 PECOS PAC ID: 3577578038 Enrollment ID: I20060221000017 |
| Provider Name | Thea M Dalfino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447228929 PECOS PAC ID: 1759391675 Enrollment ID: I20060421000503 |
| Provider Name | Cristina Pruzan-ilinca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912966862 PECOS PAC ID: 6709896392 Enrollment ID: I20060426000830 |
| Provider Name | Edwin A Cowen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235195645 PECOS PAC ID: 9032118922 Enrollment ID: I20061202000151 |
| Provider Name | Nazia Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356433858 PECOS PAC ID: 2567480650 Enrollment ID: I20070924000568 |
| Provider Name | Timothy S Derenzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629272059 PECOS PAC ID: 7416044284 Enrollment ID: I20071026000373 |
| Provider Name | Janice Muir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598977555 PECOS PAC ID: 8325135080 Enrollment ID: I20071029000327 |
| Provider Name | Andrew J Black |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659318020 PECOS PAC ID: 0840259008 Enrollment ID: I20071120000250 |
| Provider Name | Cynthia L Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750405528 PECOS PAC ID: 5193800704 Enrollment ID: I20080306000491 |
| Provider Name | Samuel O Anameze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003070749 PECOS PAC ID: 2668546037 Enrollment ID: I20080801000613 |
| Provider Name | Anthony P Posca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235306739 PECOS PAC ID: 0547328759 Enrollment ID: I20081016000326 |
| Provider Name | Afroza S Liton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639358682 PECOS PAC ID: 8325109556 Enrollment ID: I20081206000080 |
| Provider Name | Abul K. Azad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003979121 PECOS PAC ID: 6507812971 Enrollment ID: I20090428000000 |
| Provider Name | Noghama Airhienbuwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235326356 PECOS PAC ID: 0345320420 Enrollment ID: I20090429000006 |
| Provider Name | Manjinder Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619112489 PECOS PAC ID: 7315093663 Enrollment ID: I20090929000120 |
| Provider Name | Cezary Borawski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861656951 PECOS PAC ID: 4587703483 Enrollment ID: I20091207000386 |
| Provider Name | Annabi I Djalo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437311289 PECOS PAC ID: 6204900186 Enrollment ID: I20100108000547 |
| Provider Name | Sahar Amery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013172485 PECOS PAC ID: 1254491293 Enrollment ID: I20100525001026 |
| Provider Name | Jeffrey Perkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275593634 PECOS PAC ID: 4385736636 Enrollment ID: I20100611000774 |
| Provider Name | Aref Sobhani Mahdabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164610820 PECOS PAC ID: 1850471145 Enrollment ID: I20100902001081 |
| Provider Name | Erica Ann Fish-merrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265689798 PECOS PAC ID: 5395860860 Enrollment ID: I20100921000837 |
| Provider Name | Adam D Stallmer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356501480 PECOS PAC ID: 1153446620 Enrollment ID: I20100921000908 |
| Provider Name | Yaw Owusu Baah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477710408 PECOS PAC ID: 4183805823 Enrollment ID: I20110301000036 |
| Provider Name | Abdul W Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326137746 PECOS PAC ID: 9931206893 Enrollment ID: I20110525000197 |
| Provider Name | Teofilo J Arazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922266634 PECOS PAC ID: 2466510359 Enrollment ID: I20110721000251 |
| Provider Name | Farah Fatima |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598926438 PECOS PAC ID: 6305004730 Enrollment ID: I20120215000052 |
| Provider Name | Rakhee L Ippili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215192653 PECOS PAC ID: 4183895246 Enrollment ID: I20120912000039 |
| Provider Name | Shoaib Arif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801035985 PECOS PAC ID: 6709910466 Enrollment ID: I20120928000667 |
| Provider Name | Melissa A Breault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083971493 PECOS PAC ID: 1052562311 Enrollment ID: I20121114000066 |
| Provider Name | Amelia A Ciccarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831443027 PECOS PAC ID: 5092950782 Enrollment ID: I20130329000165 |
| Provider Name | Shahid Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609074897 PECOS PAC ID: 1850469198 Enrollment ID: I20130404000261 |
| Provider Name | Christopher D. Sakal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407068141 PECOS PAC ID: 7416040043 Enrollment ID: I20130528000250 |
| Provider Name | Naeem Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396059366 PECOS PAC ID: 1557504255 Enrollment ID: I20130828000469 |
| Provider Name | Abimbola Olowo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295990588 PECOS PAC ID: 7517034614 Enrollment ID: I20131024002026 |
| Provider Name | Siham Elkouachi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568773570 PECOS PAC ID: 7416183405 Enrollment ID: I20131121001451 |
| Provider Name | Clotaire Ariste |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669816948 PECOS PAC ID: 9032346663 Enrollment ID: I20131205001420 |
| Provider Name | Mustafain Meghani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053540351 PECOS PAC ID: 8325087778 Enrollment ID: I20131218000253 |
| Provider Name | Shean L Barrett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568780922 PECOS PAC ID: 2264669001 Enrollment ID: I20131226000400 |
| Provider Name | Dipti L Bhoiwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750515961 PECOS PAC ID: 8921237355 Enrollment ID: I20140206000657 |
| Provider Name | Darryl Arquero Aliggayu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982923116 PECOS PAC ID: 0446406979 Enrollment ID: I20140206000869 |
| Provider Name | Diana M Stulc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225002165 PECOS PAC ID: 9133162860 Enrollment ID: I20140212001157 |
| Provider Name | Ned Okarter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457679037 PECOS PAC ID: 0345470894 Enrollment ID: I20140228000190 |
| Provider Name | Danielle I Petrone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134422322 PECOS PAC ID: 0244453421 Enrollment ID: I20140515000004 |
| Provider Name | Carlos A Navarro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528373198 PECOS PAC ID: 9739302563 Enrollment ID: I20140527000020 |
| Provider Name | Johnson Pereira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396064341 PECOS PAC ID: 6103078670 Enrollment ID: I20140731002837 |
| Provider Name | Tarekul Haque Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306924303 PECOS PAC ID: 5496703415 Enrollment ID: I20141211000670 |
| Provider Name | Chrystal D Price |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811281587 PECOS PAC ID: 3678895174 Enrollment ID: I20141212000919 |
| Provider Name | Kevin L King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528464070 PECOS PAC ID: 5092038828 Enrollment ID: I20141230002054 |
| Provider Name | Rachel Baerga Duperoy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508167628 PECOS PAC ID: 7719120237 Enrollment ID: I20150114000870 |
| Provider Name | Daniel A Marra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801202858 PECOS PAC ID: 0547584716 Enrollment ID: I20150116000121 |
| Provider Name | Ronald H Sumter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922260058 PECOS PAC ID: 9234314923 Enrollment ID: I20150123000098 |
| Provider Name | Keisha Burrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912231812 PECOS PAC ID: 1153632419 Enrollment ID: I20150902001243 |
| Provider Name | Hongwei Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639468267 PECOS PAC ID: 8224348180 Enrollment ID: I20151104001576 |
| Provider Name | Jennifer M Eldor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821355488 PECOS PAC ID: 6406157437 Enrollment ID: I20151217000209 |
| Provider Name | Timothy R Waters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083813885 PECOS PAC ID: 9638326556 Enrollment ID: I20160107002485 |
| Provider Name | Steven Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679833305 PECOS PAC ID: 2264734011 Enrollment ID: I20160111001538 |
| Provider Name | Erin K Clausi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306273875 PECOS PAC ID: 0648573360 Enrollment ID: I20160129000188 |
| Provider Name | Rajmayur P Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629156153 PECOS PAC ID: 0244534295 Enrollment ID: I20160211000882 |
| Provider Name | Rushin Nalin Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033531546 PECOS PAC ID: 6406078187 Enrollment ID: I20160316000834 |
| Provider Name | Biana Volfinzon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952664351 PECOS PAC ID: 5092011007 Enrollment ID: I20160316001794 |
| Provider Name | Seth Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922038363 PECOS PAC ID: 5496785990 Enrollment ID: I20160708000102 |
| Provider Name | Donald Bringley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851735146 PECOS PAC ID: 0042503021 Enrollment ID: I20160728000922 |
| Provider Name | Adebisi O Alimi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649599317 PECOS PAC ID: 9537393665 Enrollment ID: I20161007000387 |
| Provider Name | Chaithanya Pamidimukala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023459633 PECOS PAC ID: 8123316072 Enrollment ID: I20161010002180 |
| Provider Name | Frederick Griffiths |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215373600 PECOS PAC ID: 5991021669 Enrollment ID: I20161014001547 |
| Provider Name | Faiyaz Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447542832 PECOS PAC ID: 8628356714 Enrollment ID: I20161024002736 |
| Provider Name | Sarah Naeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326487638 PECOS PAC ID: 3678851078 Enrollment ID: I20161104000743 |
| Provider Name | Tristan D Petrie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548604507 PECOS PAC ID: 5395024798 Enrollment ID: I20161107002179 |
| Provider Name | Jolanta J Libura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205190535 PECOS PAC ID: 3375795255 Enrollment ID: I20161111000994 |
| Provider Name | Meaghan A Sanderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245789783 PECOS PAC ID: 3274813548 Enrollment ID: I20161201002046 |
| Provider Name | Ronnie Tom Oommen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548581887 PECOS PAC ID: 8325289077 Enrollment ID: I20161216001599 |
| Provider Name | Mohammed A Makkiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679916605 PECOS PAC ID: 0345521167 Enrollment ID: I20170110000008 |
| Provider Name | Jennifer N Kean-schmitt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841734399 PECOS PAC ID: 9234410069 Enrollment ID: I20170110000476 |
| Provider Name | Amanda Michelle Stahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942479019 PECOS PAC ID: 8628353620 Enrollment ID: I20170313002054 |
| Provider Name | Christina Rawana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376986760 PECOS PAC ID: 1153636246 Enrollment ID: I20170327001809 |
| Provider Name | Uroosa Ibrahim |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235494204 PECOS PAC ID: 7618247156 Enrollment ID: I20170717002192 |
| Provider Name | Heather Denise Lydecker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992124440 PECOS PAC ID: 1951673185 Enrollment ID: I20170822003256 |
| Provider Name | Brittany Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518408624 PECOS PAC ID: 4688947229 Enrollment ID: I20170905000025 |
| Provider Name | Pierre J Gonsalves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275793101 PECOS PAC ID: 0345437976 Enrollment ID: I20170920001707 |
| Provider Name | Ashleigh Maria Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285159970 PECOS PAC ID: 7113283284 Enrollment ID: I20171106001034 |
| Provider Name | Lynn Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578016333 PECOS PAC ID: 1456611292 Enrollment ID: I20180215002761 |
| Provider Name | Jason D Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598185522 PECOS PAC ID: 5991066656 Enrollment ID: I20180221001938 |
| Provider Name | Geethapriya Rajasekaran Rathnakumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255738258 PECOS PAC ID: 0749541753 Enrollment ID: I20180307001140 |
| Provider Name | Julia Marie Leroux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689026908 PECOS PAC ID: 9830479468 Enrollment ID: I20180430001374 |
| Provider Name | Robert T Adrah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629499785 PECOS PAC ID: 5294081691 Enrollment ID: I20180627001016 |
| Provider Name | Kyla Rae Garand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558856278 PECOS PAC ID: 3577811363 Enrollment ID: I20180810001325 |
| Provider Name | Jijin Thomas Chacko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952695421 PECOS PAC ID: 7315260445 Enrollment ID: I20180904003064 |
| Provider Name | Najiib Azad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396186433 PECOS PAC ID: 2567751068 Enrollment ID: I20180912003676 |
| Provider Name | Oliver Patrick Archibald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174508105 PECOS PAC ID: 8022197169 Enrollment ID: I20181010001591 |
| Provider Name | Katherine Ann Scullin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336588052 PECOS PAC ID: 4880837582 Enrollment ID: I20181024002114 |
| Provider Name | Kayode Odutayo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790118875 PECOS PAC ID: 2567756992 Enrollment ID: I20181114000931 |
| Provider Name | Mian Mansoor Javaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184960452 PECOS PAC ID: 3173757101 Enrollment ID: I20181121000684 |
| Provider Name | Randolph Eamonn Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902127228 PECOS PAC ID: 7012133341 Enrollment ID: I20181129002832 |
| Provider Name | Mohammad Yunus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861796153 PECOS PAC ID: 9436322963 Enrollment ID: I20181206002635 |
| Provider Name | Shakil A Shaikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932527058 PECOS PAC ID: 0749408524 Enrollment ID: I20181211002711 |
| Provider Name | Usman Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356774491 PECOS PAC ID: 2769727106 Enrollment ID: I20181213000425 |
| Provider Name | Kleanthis Theodoropoulos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710394325 PECOS PAC ID: 5092059998 Enrollment ID: I20190108002511 |
| Provider Name | Steven Lau |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619350303 PECOS PAC ID: 9739426057 Enrollment ID: I20190124002370 |
| Provider Name | Jessica Logozzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578029153 PECOS PAC ID: 7719227495 Enrollment ID: I20190315000057 |
| Provider Name | Korey Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902362627 PECOS PAC ID: 1557602406 Enrollment ID: I20190403001069 |
| Provider Name | Alexis Erin Michele Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326506122 PECOS PAC ID: 6204177942 Enrollment ID: I20190408001221 |
| Provider Name | Riju Banerjee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417343674 PECOS PAC ID: 1850638107 Enrollment ID: I20190603001570 |
| Provider Name | Behrouz Ferdosiannajafabadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992183446 PECOS PAC ID: 0547506594 Enrollment ID: I20190612000468 |
| Provider Name | Suchet Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285012211 PECOS PAC ID: 6002140084 Enrollment ID: I20190625001944 |
| Provider Name | Catherine S Pfeiffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649664970 PECOS PAC ID: 3274871561 Enrollment ID: I20190816000068 |
| Provider Name | Amina Mookshah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174928758 PECOS PAC ID: 9931466554 Enrollment ID: I20190917002681 |
| Provider Name | Nathan Bryce Mahany |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861735854 PECOS PAC ID: 0143461012 Enrollment ID: I20191010000701 |
| Provider Name | Brian M Salata |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174919559 PECOS PAC ID: 3375875404 Enrollment ID: I20191023000213 |
| Provider Name | Andrew Joseph Castellano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457709578 PECOS PAC ID: 4789976143 Enrollment ID: I20191025000176 |
| Provider Name | Heather Marie Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497306526 PECOS PAC ID: 3678805579 Enrollment ID: I20191025001815 |
| Provider Name | Ashok A Ramani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619330396 PECOS PAC ID: 2668710609 Enrollment ID: I20191111000240 |
| Provider Name | Melanie Ecung Deyss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720379803 PECOS PAC ID: 8921309204 Enrollment ID: I20191115001063 |
| Provider Name | Tai Ho Shin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932546082 PECOS PAC ID: 8628315181 Enrollment ID: I20191118001654 |
| Provider Name | Evan Joye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407242696 PECOS PAC ID: 9133466329 Enrollment ID: I20191120002954 |
| Provider Name | Muhammad Kafeel Sarwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013389030 PECOS PAC ID: 5496092512 Enrollment ID: I20191125000816 |
| Provider Name | Mukund Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831552397 PECOS PAC ID: 1254764665 Enrollment ID: I20191125002061 |
| Provider Name | Priyadarshan Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104947662 PECOS PAC ID: 8527128594 Enrollment ID: I20191202001447 |
| Provider Name | Natacha Rigual Wood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902272099 PECOS PAC ID: 1456697358 Enrollment ID: I20191205001490 |
| Provider Name | Alexander Scott Weller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295120848 PECOS PAC ID: 6002171030 Enrollment ID: I20191209001389 |
| Provider Name | Luay Mrad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922449115 PECOS PAC ID: 8123262888 Enrollment ID: I20191218002192 |
Sheridan Preparatory Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Sheridan Ave, Albany, NY 12206 Phone: 518-465-4771 | |
Koinonia Primary Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 553 Clinton Ave, Albany, NY 12206 Phone: 518-689-0282 Fax: 518-689-0283 | |
Jose M David The Practice Of Family Medcine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Alton Rd, Albany, NY 12203 Phone: 518-456-4634 | |
Prime Care Physicians, P.l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Palisades Dr, Suite 200, Albany, NY 12205 Phone: 518-438-0019 Fax: 518-438-0299 | |
Prime Care Physicians, P.l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Palisades Dr, Suite 100, Albany, NY 12205 Phone: 518-446-9545 Fax: 518-446-9551 | |
Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1971 Western Ave, Albany, NY 12203 Phone: 518-452-2597 | |
Memorial Hospital, Albany, N.y. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Shaker Rd Ste G02, Albany, NY 12204 Phone: 518-449-5352 |