| Nott Street Medical, Pllc | |
|
1150 Nott St Schenectady NY 12308-2426 | |
| (518) 374-1655 | |
| (518) 374-1657 |
| Full Name | Nott Street Medical, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1150 Nott St, Schenectady, New York |
| Authorized Official Name and Position | Ali Mirza (OWNER & SOLE MEMBER) |
| Authorized Official Contact | 5183741655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nott Street Medical, Pllc 1150 Nott St Schenectady NY 12308-2426 Ph: (518) 374-1655 | Nott Street Medical, Pllc 1150 Nott St Schenectady NY 12308-2426 Ph: (518) 374-1655 |
| NPI Number | 1154330892 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5193999670 |
|---|---|
| Medicare Enrollment ID | O20111118000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154330892 | NPI | - | NPPES |
| H230 | Other | NY | CDPHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | NONE (* (Not Available)) | Primary |
| Provider Name | Ali Y Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477535458 PECOS PAC ID: 8628038338 Enrollment ID: I20041018000348 |
| Provider Name | Mamoon Daas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053318576 PECOS PAC ID: 9931224797 Enrollment ID: I20100916000749 |
| Provider Name | Nicole M George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801171632 PECOS PAC ID: 4385803121 Enrollment ID: I20120314000150 |
| Provider Name | Helen Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952821118 PECOS PAC ID: 5496028383 Enrollment ID: I20170828003801 |
| Provider Name | Isabel Rose Salamone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982163317 PECOS PAC ID: 9436491248 Enrollment ID: I20190426001664 |
| Provider Name | Teresa Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497429948 PECOS PAC ID: 0143626036 Enrollment ID: I20210831003702 |
| Provider Name | Megan Putnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912669151 PECOS PAC ID: 8628466588 Enrollment ID: I20211026000647 |
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