| Mercy Internal Medicine Pc | |
|
1000 N. Village Avenue Rockville Centre NY 11571 | |
| (516) 705-1353 | |
| Not Available |
| Full Name | Mercy Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 N. Village Avenue, Rockville Centre, New York |
| Authorized Official Name and Position | John Reilly (DIRECOR) |
| Authorized Official Contact | 5167051353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Internal Medicine Pc P.o. Box 798 Rockville Centre NY 11571 Ph: (516) 705-1353 | Mercy Internal Medicine Pc 1000 N. Village Avenue Rockville Centre NY 11571 Ph: (516) 705-1353 |
| NPI Number | 1376734079 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 04/08/2008 |
| Medicare PECOS PAC ID | 3173609591 |
|---|---|
| Medicare Enrollment ID | O20080326000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376734079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 178140 (New York) | Primary |
| Provider Name | Leon Mullen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497831986 PECOS PAC ID: 4284547100 Enrollment ID: I20031107000046 |
| Provider Name | Angelito Tan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831115179 PECOS PAC ID: 9436045986 Enrollment ID: I20040223001168 |
| Provider Name | Ambrose M Vallone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750340444 PECOS PAC ID: 7618867045 Enrollment ID: I20040318000600 |
| Provider Name | Sean G Levchuck |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134188352 PECOS PAC ID: 9638069974 Enrollment ID: I20040318001376 |
| Provider Name | David Weinstock |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003806290 PECOS PAC ID: 8123004884 Enrollment ID: I20040624001717 |
| Provider Name | Rasheed U Jafar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710945472 PECOS PAC ID: 6901885896 Enrollment ID: I20040714001652 |
| Provider Name | Gurmit S Gill |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730134339 PECOS PAC ID: 6305819855 Enrollment ID: I20040813000840 |
| Provider Name | Shaik Ali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063446631 PECOS PAC ID: 9032188032 Enrollment ID: I20040927001028 |
| Provider Name | Jean Robert Desrouleaux |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609809169 PECOS PAC ID: 8325001605 Enrollment ID: I20041108000790 |
| Provider Name | Mohammad S Husain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689609141 PECOS PAC ID: 4385607423 Enrollment ID: I20041109000898 |
| Provider Name | Ranvir S Yadav |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427058163 PECOS PAC ID: 8022075654 Enrollment ID: I20041215000877 |
| Provider Name | Joseph S Jeret |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740235993 PECOS PAC ID: 0244298594 Enrollment ID: I20050103000775 |
| Provider Name | Corey N Ziff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629071980 PECOS PAC ID: 7810946167 Enrollment ID: I20050113000836 |
| Provider Name | Mohammed Muneeruddin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649242488 PECOS PAC ID: 6608825765 Enrollment ID: I20050114000630 |
| Provider Name | Qamar Md Zaman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871585182 PECOS PAC ID: 6901849561 Enrollment ID: I20050604000038 |
| Provider Name | Gerard T Lombardo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245281286 PECOS PAC ID: 7618994955 Enrollment ID: I20051031000354 |
| Provider Name | Daniel Anghel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033190046 PECOS PAC ID: 0547277717 Enrollment ID: I20060313000498 |
| Provider Name | Thierry Duchatellier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619987120 PECOS PAC ID: 7315956596 Enrollment ID: I20060417000534 |
| Provider Name | Perry A Wyner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639102031 PECOS PAC ID: 6608887385 Enrollment ID: I20060509000621 |
| Provider Name | Emilio Del Priore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326082496 PECOS PAC ID: 3971509191 Enrollment ID: I20061011000654 |
| Provider Name | Nina Mirsakov |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134326887 PECOS PAC ID: 1951493311 Enrollment ID: I20070815000675 |
| Provider Name | Douglas M Luxenberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255343281 PECOS PAC ID: 2668552035 Enrollment ID: I20080110000516 |
| Provider Name | Xenophon P Xenophontos |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1790735991 PECOS PAC ID: 6002985629 Enrollment ID: I20080521000716 |
| Provider Name | Alexander Telis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508022088 PECOS PAC ID: 3971662446 Enrollment ID: I20081113000023 |
| Provider Name | Charles A Mitgang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114923315 PECOS PAC ID: 7618038324 Enrollment ID: I20081212000165 |
| Provider Name | Alan Wong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407091242 PECOS PAC ID: 6800946419 Enrollment ID: I20090602000379 |
| Provider Name | Sidharth Yadav |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093954802 PECOS PAC ID: 3971787441 Enrollment ID: I20110412000818 |
| Provider Name | Asra S Husain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275795387 PECOS PAC ID: 8325291578 Enrollment ID: I20130122000001 |
| Provider Name | Chrisoula Politis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346500451 PECOS PAC ID: 2567688294 Enrollment ID: I20140801000082 |
| Provider Name | Emmanouil Tsounias |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366732992 PECOS PAC ID: 4082932215 Enrollment ID: I20150417001384 |
| Provider Name | Oday Z Alhafidh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619383429 PECOS PAC ID: 1658635610 Enrollment ID: I20180430000871 |
| Provider Name | Arif Husain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134507437 PECOS PAC ID: 2961833058 Enrollment ID: I20200505000712 |
| Provider Name | Bhanu Siva Kumar R Sabbula |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548623275 PECOS PAC ID: 0244579993 Enrollment ID: I20230607001960 |
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