| Nesheiwat Medical Practice, Pc | |
|
1989 Route 52, Suite 2 Hopewell Junction NY 12533 | |
| (845) 765-2404 | |
| (845) 765-2406 |
| Full Name | Nesheiwat Medical Practice, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1989 Route 52, Suite 2, Hopewell Junction, New York |
| Authorized Official Name and Position | Ogleh Nesheiwat (PRESIDENT) |
| Authorized Official Contact | 9146105235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nesheiwat Medical Practice, Pc 1989 Route 52, Suite 2 Hopewell Junction NY 12533 Ph: (845) 765-2404 | Nesheiwat Medical Practice, Pc 1989 Route 52, Suite 2 Hopewell Junction NY 12533 Ph: (845) 765-2404 |
| NPI Number | 1235364407 |
|---|---|
| Provider Enumeration Date | 05/18/2009 |
| Last Update Date | 05/18/2009 |
| Medicare PECOS PAC ID | 9739231333 |
|---|---|
| Medicare Enrollment ID | O20090713000242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235364407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Christina Marie Fredericks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730111352 PECOS PAC ID: 9931154390 Enrollment ID: I20050317001127 |
| Provider Name | Ogleh I Nesheiwat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194809145 PECOS PAC ID: 9739281353 Enrollment ID: I20070227000809 |
| Provider Name | Kishori P Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043394596 PECOS PAC ID: 7214076066 Enrollment ID: I20091208000302 |
| Provider Name | Jay Doshi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255596649 PECOS PAC ID: 5496889529 Enrollment ID: I20100811000739 |
| Provider Name | Clifton D Burt |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588843163 PECOS PAC ID: 1456512623 Enrollment ID: I20120416000149 |
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