| Mercy Medical Center-physician Services | |
|
1000 N. Village Avenue Rockville Centre NY 11570 | |
| (516) 705-1613 | |
| (516) 705-3575 |
| Full Name | Mercy Medical Center-physician Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 N. Village Avenue, Rockville Centre, New York |
| Authorized Official Name and Position | Alan Guerci (PRESIDENT AND CEO) |
| Authorized Official Contact | 5165626798 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Medical Center-physician Services P.o. Box 798 Rockville Centre NY 11571 Ph: (516) 705-1403 | Mercy Medical Center-physician Services 1000 N. Village Avenue Rockville Centre NY 11570 Ph: (516) 705-1613 |
| NPI Number | 1619245610 |
|---|---|
| Provider Enumeration Date | 12/05/2011 |
| Last Update Date | 12/05/2011 |
| Medicare PECOS PAC ID | 4082518006 |
|---|---|
| Medicare Enrollment ID | O20040210000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619245610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2909000H (New York) | Primary |
| Provider Name | Claire M Durkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215964317 PECOS PAC ID: 2567356645 Enrollment ID: I20040210000714 |
| Provider Name | Mary Spitaletta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972608875 PECOS PAC ID: 7214828409 Enrollment ID: I20040324001666 |
| Provider Name | Khalid I Chaudhry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104921766 PECOS PAC ID: 9234021445 Enrollment ID: I20040325000004 |
| Provider Name | John Osei Tutu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912042169 PECOS PAC ID: 6709878564 Enrollment ID: I20040401000134 |
| Provider Name | Christopher C Raio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255478004 PECOS PAC ID: 2668465758 Enrollment ID: I20040405001663 |
| Provider Name | Shafiq R Khokhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871685495 PECOS PAC ID: 1850385956 Enrollment ID: I20040412001416 |
| Provider Name | David Flomenhaft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467453043 PECOS PAC ID: 1153315734 Enrollment ID: I20040414001462 |
| Provider Name | Anjum Azam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285729699 PECOS PAC ID: 1254322159 Enrollment ID: I20040519001680 |
| Provider Name | Joseph R Clerisme |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790721710 PECOS PAC ID: 7416933445 Enrollment ID: I20040629000611 |
| Provider Name | Paul V Burke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720021728 PECOS PAC ID: 1658351663 Enrollment ID: I20040721000858 |
| Provider Name | Spencer A Holover |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952346157 PECOS PAC ID: 4981594363 Enrollment ID: I20040908001113 |
| Provider Name | Shari Karp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356619316 PECOS PAC ID: 2860452133 Enrollment ID: I20041012001201 |
| Provider Name | Eric F Decena |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699704007 PECOS PAC ID: 6002879657 Enrollment ID: I20041105000072 |
| Provider Name | Joseph J Chirayil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023000916 PECOS PAC ID: 3375580020 Enrollment ID: I20050413001099 |
| Provider Name | Satya S. Polavarapu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407815152 PECOS PAC ID: 2567409170 Enrollment ID: I20050414001178 |
| Provider Name | Kurt Dischner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922050442 PECOS PAC ID: 6406884287 Enrollment ID: I20050802000905 |
| Provider Name | Inessa Mysak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447317680 PECOS PAC ID: 3173552908 Enrollment ID: I20050811000397 |
| Provider Name | Richard A Krugley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366430217 PECOS PAC ID: 6002835022 Enrollment ID: I20051118000028 |
| Provider Name | Jacqueline M Zuccarello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154360683 PECOS PAC ID: 1557373602 Enrollment ID: I20060608000157 |
| Provider Name | Nenad Grlic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023048782 PECOS PAC ID: 2860496080 Enrollment ID: I20060831000071 |
| Provider Name | Tadeusz Korszun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457373896 PECOS PAC ID: 6103821665 Enrollment ID: I20060916000037 |
| Provider Name | David I Bergman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427070655 PECOS PAC ID: 0749202661 Enrollment ID: I20061019000347 |
| Provider Name | Alexander Tsynman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518993278 PECOS PAC ID: 2264430073 Enrollment ID: I20061109000549 |
| Provider Name | Amelia Garcia-ochakovsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144397514 PECOS PAC ID: 6507960549 Enrollment ID: I20070330000147 |
| Provider Name | Oana O Abidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881773737 PECOS PAC ID: 0042314007 Enrollment ID: I20070330000354 |
| Provider Name | Victor F Politi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083718597 PECOS PAC ID: 3971531708 Enrollment ID: I20070418000106 |
| Provider Name | Janet Starr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750402129 PECOS PAC ID: 1052419777 Enrollment ID: I20070604000690 |
| Provider Name | John Dillon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023139300 PECOS PAC ID: 8527166248 Enrollment ID: I20070607000024 |
| Provider Name | John Mathew |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679778526 PECOS PAC ID: 7214028000 Enrollment ID: I20070808000579 |
| Provider Name | Nina Mirsakov |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134326887 PECOS PAC ID: 1951493311 Enrollment ID: I20070815000675 |
| Provider Name | Mridul G Kumar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033300553 PECOS PAC ID: 2264520980 Enrollment ID: I20071114000167 |
| Provider Name | Gary S Rudolph |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164595476 PECOS PAC ID: 3577651785 Enrollment ID: I20071121000118 |
| Provider Name | Andrew E Sama |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902959620 PECOS PAC ID: 8426147687 Enrollment ID: I20071211000462 |
| Provider Name | Joseph V Perrotta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730251497 PECOS PAC ID: 0446330872 Enrollment ID: I20080110000241 |
| Provider Name | Cary M Golub |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356344550 PECOS PAC ID: 2961580485 Enrollment ID: I20080424000390 |
| Provider Name | Georges Jean-pierre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255537551 PECOS PAC ID: 9436220225 Enrollment ID: I20080623000321 |
| Provider Name | Karl Dormesy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417033184 PECOS PAC ID: 1456426576 Enrollment ID: I20080823000034 |
| Provider Name | Fritz Jean-louis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982679338 PECOS PAC ID: 4385711894 Enrollment ID: I20080925000429 |
| Provider Name | Alexander Telis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508022088 PECOS PAC ID: 3971662446 Enrollment ID: I20081113000023 |
| Provider Name | Kamil I Jaghab |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447212998 PECOS PAC ID: 6305994484 Enrollment ID: I20090429000232 |
| Provider Name | Veena A Modayil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225278799 PECOS PAC ID: 2264585611 Enrollment ID: I20090731000597 |
| Provider Name | Aryeh L Schulman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225284235 PECOS PAC ID: 3375697824 Enrollment ID: I20090818000318 |
| Provider Name | Christina Zhang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417193384 PECOS PAC ID: 1355408006 Enrollment ID: I20090820000324 |
| Provider Name | Sanjay Shetty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770510893 PECOS PAC ID: 2567449655 Enrollment ID: I20090826000387 |
| Provider Name | Jonathan G Goldstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285854281 PECOS PAC ID: 3476608373 Enrollment ID: I20090831000516 |
| Provider Name | Bryan J Tran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447460233 PECOS PAC ID: 8426195942 Enrollment ID: I20091102000204 |
| Provider Name | Adam Ash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699974675 PECOS PAC ID: 3678668787 Enrollment ID: I20091117000544 |
| Provider Name | Deepika R Ramchandani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053348961 PECOS PAC ID: 7416092473 Enrollment ID: I20100303000045 |
| Provider Name | Christopher P Plummer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538107644 PECOS PAC ID: 4789657370 Enrollment ID: I20100709000320 |
| Provider Name | Shahriar Zehtabchi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124013081 PECOS PAC ID: 8527192517 Enrollment ID: I20100812000460 |
| Provider Name | Robert M Bramante |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558520205 PECOS PAC ID: 2769506641 Enrollment ID: I20100830000345 |
| Provider Name | Joseph A Zito |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649441429 PECOS PAC ID: 1254455157 Enrollment ID: I20100830000588 |
| Provider Name | Jay M Bolnick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104815679 PECOS PAC ID: 5395762439 Enrollment ID: I20101007000087 |
| Provider Name | Donna A Lawrence |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124343033 PECOS PAC ID: 3678766771 Enrollment ID: I20101021000618 |
| Provider Name | Shehla Yusaf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497943815 PECOS PAC ID: 4082515598 Enrollment ID: I20110223000085 |
| Provider Name | Louis K Teitelbaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598786956 PECOS PAC ID: 3274711163 Enrollment ID: I20110623000480 |
| Provider Name | Sharifuzzama Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386800696 PECOS PAC ID: 3274703327 Enrollment ID: I20110826000551 |
| Provider Name | Maria Arpino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710197009 PECOS PAC ID: 5799946968 Enrollment ID: I20120416000179 |
| Provider Name | Robert L Gekle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518195320 PECOS PAC ID: 4789848235 Enrollment ID: I20120613000016 |
| Provider Name | Cini K Thayil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700047776 PECOS PAC ID: 8628232972 Enrollment ID: I20120618000155 |
| Provider Name | Maria J Rosero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598010423 PECOS PAC ID: 9032366091 Enrollment ID: I20120827000182 |
| Provider Name | Krishna Bezwada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346458478 PECOS PAC ID: 6709038698 Enrollment ID: I20121128000122 |
| Provider Name | Erum Hashmi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154607323 PECOS PAC ID: 1254573330 Enrollment ID: I20130820000894 |
| Provider Name | Cheriyan Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619248481 PECOS PAC ID: 6305080946 Enrollment ID: I20130920000206 |
| Provider Name | Adam A Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356650980 PECOS PAC ID: 1355575432 Enrollment ID: I20131002000614 |
| Provider Name | Phillip Miu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992023840 PECOS PAC ID: 6709011141 Enrollment ID: I20131021001016 |
| Provider Name | Beena Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588935043 PECOS PAC ID: 9335370204 Enrollment ID: I20140319000585 |
| Provider Name | Neetu Dhadwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962842492 PECOS PAC ID: 4183852270 Enrollment ID: I20140619001145 |
| Provider Name | Chrisoula Politis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346500451 PECOS PAC ID: 2567688294 Enrollment ID: I20140801000082 |
| Provider Name | Nina Grace Bradley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750692422 PECOS PAC ID: 6709025505 Enrollment ID: I20141027001235 |
| Provider Name | Gaurav Verma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588926588 PECOS PAC ID: 4385960640 Enrollment ID: I20150303002151 |
| Provider Name | Wen-ting J Chiao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346413242 PECOS PAC ID: 3971743626 Enrollment ID: I20150506000957 |
| Provider Name | Stacy M. Eagle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376858993 PECOS PAC ID: 0648589325 Enrollment ID: I20151020001277 |
| Provider Name | Stephanie Coiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124392691 PECOS PAC ID: 6507167939 Enrollment ID: I20151209000787 |
| Provider Name | Amadou B Ndow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528300654 PECOS PAC ID: 2365738408 Enrollment ID: I20160915001562 |
| Provider Name | Lee S Jacobson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508204777 PECOS PAC ID: 3779863774 Enrollment ID: I20161208002228 |
| Provider Name | Padmalatha Gurram |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346334141 PECOS PAC ID: 3375636103 Enrollment ID: I20170110000733 |
| Provider Name | Jason Chorowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649514019 PECOS PAC ID: 6406132174 Enrollment ID: I20170412000032 |
| Provider Name | Sohal M Shipu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427456326 PECOS PAC ID: 1658644257 Enrollment ID: I20170901001572 |
| Provider Name | Polina Shats |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235441320 PECOS PAC ID: 4183998115 Enrollment ID: I20170914002151 |
| Provider Name | Marcel Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891076329 PECOS PAC ID: 2961776117 Enrollment ID: I20170927000204 |
| Provider Name | Amit Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538571823 PECOS PAC ID: 3476829326 Enrollment ID: I20171023000051 |
| Provider Name | Pankti R Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023307352 PECOS PAC ID: 3173833357 Enrollment ID: I20171206002022 |
| Provider Name | Beth E Freedman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689983306 PECOS PAC ID: 0547523763 Enrollment ID: I20180420000730 |
| Provider Name | Oday Z Alhafidh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619383429 PECOS PAC ID: 1658635610 Enrollment ID: I20180430000871 |
| Provider Name | Andrew A Dream |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295120889 PECOS PAC ID: 6608177399 Enrollment ID: I20180619002261 |
| Provider Name | Sherissa A Charles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235518978 PECOS PAC ID: 4789932096 Enrollment ID: I20180802002497 |
| Provider Name | Angelo P Canedo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992185649 PECOS PAC ID: 1951659143 Enrollment ID: I20180803001937 |
| Provider Name | Marina Tsoy-podosenin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881001352 PECOS PAC ID: 7416206875 Enrollment ID: I20180817000424 |
| Provider Name | Shiby Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437547437 PECOS PAC ID: 8820347883 Enrollment ID: I20180823003191 |
| Provider Name | Edward George Boyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073953683 PECOS PAC ID: 3779885678 Enrollment ID: I20180920002305 |
| Provider Name | Irina Chikvashvili |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578977047 PECOS PAC ID: 5395098354 Enrollment ID: I20181022002875 |
| Provider Name | Stanley Garken Lue |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003017427 PECOS PAC ID: 6204005648 Enrollment ID: I20181214002764 |
| Provider Name | Theresa B. Sevilis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407111461 PECOS PAC ID: 6608191911 Enrollment ID: I20181219001712 |
| Provider Name | Chut Sombutmai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649320987 PECOS PAC ID: 4284807413 Enrollment ID: I20181219002932 |
| Provider Name | Harsha Ghatge Nagaraja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568606259 PECOS PAC ID: 5496983009 Enrollment ID: I20181219003136 |
| Provider Name | Michelle Boudreau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346534864 PECOS PAC ID: 7416182480 Enrollment ID: I20181231000554 |
| Provider Name | Katherine Colleen Riordan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689832107 PECOS PAC ID: 8224174354 Enrollment ID: I20190208000385 |
| Provider Name | Nirav Desai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215293832 PECOS PAC ID: 2860766367 Enrollment ID: I20190411002365 |
| Provider Name | Brett Noah Berliner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871948752 PECOS PAC ID: 2961744032 Enrollment ID: I20190422001821 |
| Provider Name | Leigha Beth Clarkson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902289739 PECOS PAC ID: 4789921115 Enrollment ID: I20190715001456 |
| Provider Name | Terri-ann N Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437436433 PECOS PAC ID: 5092975227 Enrollment ID: I20190731000476 |
| Provider Name | Gregory S Nishimura |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881744795 PECOS PAC ID: 6901132737 Enrollment ID: I20190731001803 |
| Provider Name | Crystal Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801021886 PECOS PAC ID: 9931321338 Enrollment ID: I20191024001169 |
| Provider Name | Anjuli R Cogman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255718268 PECOS PAC ID: 8820424948 Enrollment ID: I20200210002114 |
| Provider Name | Geetanjali Vajapey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740523935 PECOS PAC ID: 5799087441 Enrollment ID: I20200313001047 |
| Provider Name | Joao Mc-oneil Plancher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700142668 PECOS PAC ID: 9638317837 Enrollment ID: I20200324000661 |
| Provider Name | Patricia Colon-garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427157270 PECOS PAC ID: 0446356216 Enrollment ID: I20200326002990 |
| Provider Name | Igal Breitman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881973014 PECOS PAC ID: 7719121847 Enrollment ID: I20200520002559 |
| Provider Name | Donald Laurier Payette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174806046 PECOS PAC ID: 2961653043 Enrollment ID: I20200709002894 |
| Provider Name | Srinivas Bolugoddu Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750756235 PECOS PAC ID: 8325383524 Enrollment ID: I20200803000672 |
| Provider Name | Murtaza Amir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508971920 PECOS PAC ID: 4688602915 Enrollment ID: I20200825000875 |
| Provider Name | Joji Binu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770120339 PECOS PAC ID: 9638597511 Enrollment ID: I20200909000901 |
| Provider Name | Mark Mitchell Mcdonald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366837429 PECOS PAC ID: 6709156334 Enrollment ID: I20200921003035 |
| Provider Name | Sui Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992026371 PECOS PAC ID: 0345554929 Enrollment ID: I20200929000596 |
| Provider Name | Sandro James Corti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538503131 PECOS PAC ID: 4789953696 Enrollment ID: I20201005001940 |
| Provider Name | Robert Felte |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073956728 PECOS PAC ID: 7416191515 Enrollment ID: I20201006000411 |
| Provider Name | Mariecken V Fowler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548200116 PECOS PAC ID: 4688602758 Enrollment ID: I20201105002191 |
| Provider Name | Alisa K Coleman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760863856 PECOS PAC ID: 4183035025 Enrollment ID: I20201124002536 |
| Provider Name | Hai Hoang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760877617 PECOS PAC ID: 5597177402 Enrollment ID: I20201217002977 |
| Provider Name | Mallory Noelle Luckey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770932170 PECOS PAC ID: 4183902356 Enrollment ID: I20210126002565 |
| Provider Name | Adebanke Adebayo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306291406 PECOS PAC ID: 4486991890 Enrollment ID: I20210126002982 |
| Provider Name | Darshana Pritesh Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407901382 PECOS PAC ID: 4082750468 Enrollment ID: I20210305001689 |
| Provider Name | Joshua Todd Mendelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265641070 PECOS PAC ID: 8921139023 Enrollment ID: I20210331002398 |
| Provider Name | Georgy Cherkassky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760827778 PECOS PAC ID: 7416197702 Enrollment ID: I20210507000961 |
| Provider Name | Robert Myers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700248937 PECOS PAC ID: 7416356324 Enrollment ID: I20210526001655 |
| Provider Name | Benzion Chaim Yitzchok Blech |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538515465 PECOS PAC ID: 9638461056 Enrollment ID: I20210526001691 |
| Provider Name | Ricky Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063779213 PECOS PAC ID: 6901039734 Enrollment ID: I20210526003173 |
| Provider Name | David W Powers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770904641 PECOS PAC ID: 5193124808 Enrollment ID: I20210601000900 |
| Provider Name | Victoria Chala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588036404 PECOS PAC ID: 3577963875 Enrollment ID: I20210608001832 |
| Provider Name | Karen M Camargo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295264539 PECOS PAC ID: 8022418185 Enrollment ID: I20210610001482 |
| Provider Name | Jacqueline Tin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508397779 PECOS PAC ID: 2062757552 Enrollment ID: I20210616001080 |
| Provider Name | Brianna L Thiessen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588018584 PECOS PAC ID: 7517203995 Enrollment ID: I20210618000217 |
| Provider Name | Saiful Islam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952912354 PECOS PAC ID: 6709287675 Enrollment ID: I20210629002988 |
| Provider Name | Marissa A Novack |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235525650 PECOS PAC ID: 1254733694 Enrollment ID: I20210708000913 |
| Provider Name | Aditya Makol |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770937286 PECOS PAC ID: 9931447174 Enrollment ID: I20210715002416 |
| Provider Name | Morgan Patrylo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972946002 PECOS PAC ID: 4880948959 Enrollment ID: I20210830001094 |
| Provider Name | Jenna R Kanter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063737302 PECOS PAC ID: 1850514456 Enrollment ID: I20211129001223 |
| Provider Name | Ho Yin Vasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336780063 PECOS PAC ID: 8325438476 Enrollment ID: I20211202002878 |
| Provider Name | Birenkumar Rajandrakumar Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679900062 PECOS PAC ID: 0547533788 Enrollment ID: I20220121000528 |
| Provider Name | Tamara R Pinard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780168179 PECOS PAC ID: 6709279516 Enrollment ID: I20220131000476 |
| Provider Name | Jessica Shin Choe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215194030 PECOS PAC ID: 3678857323 Enrollment ID: I20220201000191 |
| Provider Name | Yu-hsuan Liao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063868677 PECOS PAC ID: 9133523350 Enrollment ID: I20220217001832 |
| Provider Name | Tashonna Rasheen Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336811074 PECOS PAC ID: 7113311994 Enrollment ID: I20220221000590 |
| Provider Name | Andrew Novick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316568728 PECOS PAC ID: 7315335361 Enrollment ID: I20220413001636 |
| Provider Name | Paul E Enochs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558339036 PECOS PAC ID: 1153210349 Enrollment ID: I20220414002440 |
| Provider Name | Linda Y. Jiang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427476456 PECOS PAC ID: 3678870276 Enrollment ID: I20220507000124 |
| Provider Name | Fermina Alia Pirmohamed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508138314 PECOS PAC ID: 9133369754 Enrollment ID: I20220516000051 |
| Provider Name | Mark Spoerer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740847680 PECOS PAC ID: 8729467139 Enrollment ID: I20220615000900 |
| Provider Name | Jenna Choi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790273779 PECOS PAC ID: 9739560681 Enrollment ID: I20220722002591 |
| Provider Name | Joseph Frankel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437619145 PECOS PAC ID: 6305173659 Enrollment ID: I20220804001994 |
| Provider Name | Patrick Mcgoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780147355 PECOS PAC ID: 3072998046 Enrollment ID: I20220913000567 |
| Provider Name | Ugo D Udeochu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265026892 PECOS PAC ID: 8325424419 Enrollment ID: I20220927001430 |
| Provider Name | Jai Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366939696 PECOS PAC ID: 7315313103 Enrollment ID: I20221019002080 |
| Provider Name | Steven Gangloff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952756058 PECOS PAC ID: 4587951637 Enrollment ID: I20221027001282 |
| Provider Name | Jafreen Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679950984 PECOS PAC ID: 9931498706 Enrollment ID: I20221101001157 |
| Provider Name | Hsiong Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912165374 PECOS PAC ID: 1456548601 Enrollment ID: I20221107001141 |
| Provider Name | Igor Alexandrovich Malenky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740714054 PECOS PAC ID: 8820361330 Enrollment ID: I20221107001394 |
| Provider Name | Anant Shenoy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194998005 PECOS PAC ID: 5991855140 Enrollment ID: I20221107003040 |
| Provider Name | Brett Michael Simenhoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710340021 PECOS PAC ID: 6800132879 Enrollment ID: I20221201000200 |
| Provider Name | Wendi I Kulin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043411333 PECOS PAC ID: 5193857647 Enrollment ID: I20221205001348 |
| Provider Name | Arvind Vasudevan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770503526 PECOS PAC ID: 2860414091 Enrollment ID: I20221205002587 |
| Provider Name | Leena Isaac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326685173 PECOS PAC ID: 5193195345 Enrollment ID: I20230104000380 |
| Provider Name | Ryna Then |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427346303 PECOS PAC ID: 4587891080 Enrollment ID: I20230105001727 |
| Provider Name | Mark A Ricketts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801132782 PECOS PAC ID: 3971974734 Enrollment ID: I20230116000080 |
| Provider Name | Nicholas Anthony Ressa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366974867 PECOS PAC ID: 8921370404 Enrollment ID: I20230119002753 |
| Provider Name | Indira De Jesus Alvelo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700074796 PECOS PAC ID: 2264651207 Enrollment ID: I20230131000172 |
| Provider Name | Shao-hwa P Wei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205062361 PECOS PAC ID: 7517278146 Enrollment ID: I20230207001806 |
| Provider Name | Agnelio Silverio Cardentey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164957452 PECOS PAC ID: 3870960412 Enrollment ID: I20230310001598 |
| Provider Name | Robert A Fishman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982807921 PECOS PAC ID: 2062667454 Enrollment ID: I20230403002422 |
| Provider Name | Patricia Kleinholz-owens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629344882 PECOS PAC ID: 5496043440 Enrollment ID: I20230501001576 |
| Provider Name | Bradley M Klein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619314705 PECOS PAC ID: 6709154743 Enrollment ID: I20230502001455 |
| Provider Name | Neil G Jhamb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477787067 PECOS PAC ID: 4082852769 Enrollment ID: I20230503001830 |
| Provider Name | Mark Sabra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942616560 PECOS PAC ID: 7911200340 Enrollment ID: I20230504000090 |
| Provider Name | Adam Mitchell Koss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760801112 PECOS PAC ID: 2769604123 Enrollment ID: I20230508000784 |
| Provider Name | Wendy E Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285780718 PECOS PAC ID: 3678613544 Enrollment ID: I20230508001107 |
| Provider Name | Kelly Milton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770882458 PECOS PAC ID: 8729206099 Enrollment ID: I20230508002479 |
| Provider Name | Cintasha Redmond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639437452 PECOS PAC ID: 8628344728 Enrollment ID: I20230509000173 |
| Provider Name | Samuel Reinfeld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861952459 PECOS PAC ID: 8921337247 Enrollment ID: I20230523000763 |
| Provider Name | Benjamin C Groves |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396242202 PECOS PAC ID: 7012399033 Enrollment ID: I20230525000248 |
| Provider Name | Stafford A Conway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366498206 PECOS PAC ID: 3870515752 Enrollment ID: I20230525000621 |
| Provider Name | Hassan Frinjari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811127764 PECOS PAC ID: 6103962527 Enrollment ID: I20230601001641 |
| Provider Name | Bhanu Siva Kumar R Sabbula |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548623275 PECOS PAC ID: 0244579993 Enrollment ID: I20230607001960 |
| Provider Name | Kyle Binder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841635422 PECOS PAC ID: 8325479116 Enrollment ID: I20230608001563 |
| Provider Name | Philip Yeung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316443575 PECOS PAC ID: 6406213156 Enrollment ID: I20230612001323 |
| Provider Name | Kristen L Veal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821594789 PECOS PAC ID: 5698141604 Enrollment ID: I20230613000631 |
| Provider Name | Sang Myung Han |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700433398 PECOS PAC ID: 9739512278 Enrollment ID: I20230620001472 |
| Provider Name | Rubina Waheed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104836857 PECOS PAC ID: 8426487257 Enrollment ID: I20230621001626 |
| Provider Name | Justin De'prey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356872063 PECOS PAC ID: 3274806674 Enrollment ID: I20230711000437 |
| Provider Name | Estella Margaret Kidwell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184696122 PECOS PAC ID: 1456398056 Enrollment ID: I20230711000867 |
| Provider Name | Adam Hennessey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689818197 PECOS PAC ID: 4981848876 Enrollment ID: I20230714000037 |
| Provider Name | Pirtya R Chugh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730616459 PECOS PAC ID: 4789929282 Enrollment ID: I20230719000521 |
| Provider Name | Azza Bakkar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447887500 PECOS PAC ID: 6709246911 Enrollment ID: I20230720000276 |
| Provider Name | Katherine E Roach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639632797 PECOS PAC ID: 3870827702 Enrollment ID: I20230720001489 |
| Provider Name | Amol R Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649775503 PECOS PAC ID: 5395095293 Enrollment ID: I20230814000413 |
| Provider Name | Anil Bhagavath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851888135 PECOS PAC ID: 4981942778 Enrollment ID: I20230822000769 |
| Provider Name | Srijana Zarkou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649482340 PECOS PAC ID: 3779617139 Enrollment ID: I20230928000342 |
| Provider Name | Jimmy Diep Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285815605 PECOS PAC ID: 5799837621 Enrollment ID: I20231003002038 |
| Provider Name | Christopher R Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760048235 PECOS PAC ID: 1153658810 Enrollment ID: I20231013001263 |
| Provider Name | Abhi H Kapuria |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730542812 PECOS PAC ID: 8820493935 Enrollment ID: I20231019000332 |
| Provider Name | Ellie Frazey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003472366 PECOS PAC ID: 2567820848 Enrollment ID: I20231019001012 |
| Provider Name | Julio Ventura |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164659546 PECOS PAC ID: 2163662495 Enrollment ID: I20231101002126 |
| Provider Name | Amy E Steinberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780180885 PECOS PAC ID: 8527316975 Enrollment ID: I20231102000042 |
| Provider Name | Ronak Bharatkumar Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710488366 PECOS PAC ID: 8820424997 Enrollment ID: I20240608000066 |
| Provider Name | William T Jackson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649706474 PECOS PAC ID: 6204105380 Enrollment ID: I20240610000682 |
Total Medicine 365, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 N Village Ave, Rockville Centre, NY 11570 Phone: 516-705-2525 | |
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Attendant Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 N. Village Avenue, Rockville Centre, NY 11570 Phone: 516-705-2854 | |
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Mercy Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 N. Village Avenue, Rockville Centre, NY 11571 Phone: 516-705-1353 Fax: 516-705-3575 | |
Charles A. Mitgang, M.d. P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 371 Merrick Rd, Suite 302, Rockville Centre, NY 11570 Phone: 516-678-5555 Fax: 516-678-9128 | |
Infectious Disease Practice Of Long Island Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 165 N Village Ave, Suite 107, Rockville Centre, NY 11570 Phone: 516-442-4991 |