| Peyman Younesi Md Pllc | |
|
6136 170th St Apt M4 Fresh Meadows NY 11365-1957 | |
| (718) 709-0940 | |
| Not Available |
| Full Name | Peyman Younesi Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6136 170th St Apt M4, Fresh Meadows, New York |
| Authorized Official Name and Position | Peyman Younesi (PRESIDENT) |
| Authorized Official Contact | 3107091236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peyman Younesi Md Pllc 3307 164th St Suite #2 Flushing NY 11358-1441 Ph: (347) 709-3133 | Peyman Younesi Md Pllc 6136 170th St Apt M4 Fresh Meadows NY 11365-1957 Ph: (718) 709-0940 |
| NPI Number | 1891053328 |
|---|---|
| Provider Enumeration Date | 05/03/2012 |
| Last Update Date | 11/29/2021 |
| Medicare PECOS PAC ID | 4981860202 |
|---|---|
| Medicare Enrollment ID | O20120731000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891053328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2581181 (New York) | Primary |
| Provider Name | Diana Castro |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518993476 PECOS PAC ID: 2365330057 Enrollment ID: I20040305000010 |
| Provider Name | Raul Alberto Ulloa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841330107 PECOS PAC ID: 9436113776 Enrollment ID: I20041116000720 |
| Provider Name | Brian M Strauss |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659595957 PECOS PAC ID: 6305803610 Enrollment ID: I20041217000264 |
| Provider Name | Rama B Raju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609957000 PECOS PAC ID: 2466410378 Enrollment ID: I20041223000169 |
| Provider Name | Seema S Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053341586 PECOS PAC ID: 6204882376 Enrollment ID: I20051013000293 |
| Provider Name | John Cai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225099419 PECOS PAC ID: 3375576416 Enrollment ID: I20060405000253 |
| Provider Name | Janine Kramer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205891405 PECOS PAC ID: 4981613486 Enrollment ID: I20060411000610 |
| Provider Name | Richard S Zito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366555849 PECOS PAC ID: 4789693292 Enrollment ID: I20060411000734 |
| Provider Name | Mohamed M Ibrahim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154379295 PECOS PAC ID: 3476443920 Enrollment ID: I20070514000061 |
| Provider Name | Judy Fuhrer Avigdor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235324922 PECOS PAC ID: 1052482213 Enrollment ID: I20080616000163 |
| Provider Name | Roseline N Ihim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790979391 PECOS PAC ID: 4183703663 Enrollment ID: I20080825000123 |
| Provider Name | Georges R Ramalanjaona |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104811785 PECOS PAC ID: 4587688429 Enrollment ID: I20081119000554 |
| Provider Name | Marcel M Benoit |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609855725 PECOS PAC ID: 1052478765 Enrollment ID: I20090325000246 |
| Provider Name | Maria Lourdes Bunque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578702809 PECOS PAC ID: 5092872689 Enrollment ID: I20090326000168 |
| Provider Name | Michelle Fried |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659510642 PECOS PAC ID: 0244380723 Enrollment ID: I20090603000367 |
| Provider Name | Mazal Agazarova |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508188087 PECOS PAC ID: 6507993656 Enrollment ID: I20100421000218 |
| Provider Name | Rozy Nelofar Wani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245295492 PECOS PAC ID: 7113092339 Enrollment ID: I20100503000026 |
| Provider Name | Alec Pruchnicki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104934736 PECOS PAC ID: 8527182732 Enrollment ID: I20100825000165 |
| Provider Name | Florence Pua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124105036 PECOS PAC ID: 3971796483 Enrollment ID: I20101015001206 |
| Provider Name | Peyman Younesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891942645 PECOS PAC ID: 0345420790 Enrollment ID: I20110202000565 |
| Provider Name | Bilqees Abdallah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336440130 PECOS PAC ID: 3870775679 Enrollment ID: I20110316000200 |
| Provider Name | Amit Khaneja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922261486 PECOS PAC ID: 8123296902 Enrollment ID: I20110721000627 |
| Provider Name | Maria Theresa C Vinluan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598098402 PECOS PAC ID: 2860663895 Enrollment ID: I20110922000271 |
| Provider Name | Surinder A Pal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538245139 PECOS PAC ID: 5294987624 Enrollment ID: I20121212000217 |
| Provider Name | Wu Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518236181 PECOS PAC ID: 4486894003 Enrollment ID: I20130702000618 |
| Provider Name | Jennifer M Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164655270 PECOS PAC ID: 8426290875 Enrollment ID: I20130814000302 |
| Provider Name | Stephen Asiedu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245548114 PECOS PAC ID: 4688853922 Enrollment ID: I20140324000658 |
| Provider Name | Jason Sarzosa |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144623695 PECOS PAC ID: 6608098645 Enrollment ID: I20141107000291 |
| Provider Name | Emelia Asare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891191987 PECOS PAC ID: 8325363005 Enrollment ID: I20150223000214 |
| Provider Name | Kevin Tin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174812044 PECOS PAC ID: 9830415728 Enrollment ID: I20150312001295 |
| Provider Name | Israel Willis |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1932448701 PECOS PAC ID: 4789829839 Enrollment ID: I20150506000335 |
| Provider Name | Cheol Woong Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881086874 PECOS PAC ID: 3971823824 Enrollment ID: I20150518001182 |
| Provider Name | Ali Tabarroki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952794489 PECOS PAC ID: 5395065049 Enrollment ID: I20150520000335 |
| Provider Name | Brandi L Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083007579 PECOS PAC ID: 6002137247 Enrollment ID: I20150601000310 |
| Provider Name | Ethan John Liebler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770677809 PECOS PAC ID: 1052308608 Enrollment ID: I20150716000153 |
| Provider Name | Mahmoud E.d. Daif |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245610773 PECOS PAC ID: 0941514624 Enrollment ID: I20150810000828 |
| Provider Name | Afolabi Poroye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386956654 PECOS PAC ID: 8022240183 Enrollment ID: I20160202002674 |
| Provider Name | Ayodele O Atolagbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255686085 PECOS PAC ID: 7315240298 Enrollment ID: I20160311001227 |
| Provider Name | Ling Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447562376 PECOS PAC ID: 7810294683 Enrollment ID: I20160322000700 |
| Provider Name | Ishtiaq Hossain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104261379 PECOS PAC ID: 0345472999 Enrollment ID: I20160817000893 |
| Provider Name | Zoneera Hameed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831647601 PECOS PAC ID: 4284922345 Enrollment ID: I20161005003019 |
| Provider Name | Georgey Easow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083637805 PECOS PAC ID: 6204114572 Enrollment ID: I20161021000609 |
| Provider Name | Ying Liu Wohlberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497113047 PECOS PAC ID: 4183902976 Enrollment ID: I20161029000019 |
| Provider Name | Osama Zaki Almanastirly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023480290 PECOS PAC ID: 3476831835 Enrollment ID: I20161107000256 |
| Provider Name | Jong Ok Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396283479 PECOS PAC ID: 0042594103 Enrollment ID: I20170309000986 |
| Provider Name | Marisa L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790113355 PECOS PAC ID: 7517274822 Enrollment ID: I20170404000313 |
| Provider Name | Jennifer Schoenfeld |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437460524 PECOS PAC ID: 4183856412 Enrollment ID: I20170424000412 |
| Provider Name | Michael Penhasov |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336676527 PECOS PAC ID: 6305114281 Enrollment ID: I20170619000155 |
| Provider Name | Yulissa Familia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720518715 PECOS PAC ID: 0840562922 Enrollment ID: I20170824001114 |
| Provider Name | Ellis Enabosi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669866158 PECOS PAC ID: 3274890272 Enrollment ID: I20171129002536 |
| Provider Name | Abimbola Adebajo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942684667 PECOS PAC ID: 6507128352 Enrollment ID: I20180315000665 |
| Provider Name | Tinashe A Mudiwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740632876 PECOS PAC ID: 7911269386 Enrollment ID: I20180322002040 |
| Provider Name | Derek Bershad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578053526 PECOS PAC ID: 1355606260 Enrollment ID: I20180524001038 |
| Provider Name | Ney T Francois |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194220400 PECOS PAC ID: 7214282573 Enrollment ID: I20180611001023 |
| Provider Name | Fatima Rehman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801386974 PECOS PAC ID: 2466708524 Enrollment ID: I20180702003078 |
| Provider Name | Watson R Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487913737 PECOS PAC ID: 4183985146 Enrollment ID: I20180709000966 |
| Provider Name | Rosamma Saji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861978561 PECOS PAC ID: 7517217730 Enrollment ID: I20180910002816 |
| Provider Name | Daniella Fireman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750856928 PECOS PAC ID: 1052665502 Enrollment ID: I20181119003245 |
| Provider Name | Eric Parker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528522240 PECOS PAC ID: 0648518258 Enrollment ID: I20190206001418 |
| Provider Name | Andrea Gomez Ugarelli |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497235857 PECOS PAC ID: 7012242183 Enrollment ID: I20190711001224 |
| Provider Name | Michell Valeria Peralta |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710350020 PECOS PAC ID: 9638408057 Enrollment ID: I20190911000455 |
| Provider Name | Sheena Rismany |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033766274 PECOS PAC ID: 5698005619 Enrollment ID: I20190918000346 |
| Provider Name | Asha Kuniyil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710152558 PECOS PAC ID: 5193055606 Enrollment ID: I20190926001176 |
| Provider Name | Ruby Ezra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699088898 PECOS PAC ID: 3173853397 Enrollment ID: I20191001000821 |
| Provider Name | Mohammed Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306232046 PECOS PAC ID: 9830521582 Enrollment ID: I20191118002498 |
| Provider Name | Ahmed H Abdo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457999336 PECOS PAC ID: 9133553969 Enrollment ID: I20200102001149 |
| Provider Name | Bobbette K Syders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538638762 PECOS PAC ID: 5597190744 Enrollment ID: I20200115002281 |
| Provider Name | Simone V Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437620200 PECOS PAC ID: 2163850652 Enrollment ID: I20200316002262 |
| Provider Name | Rodrick Coaxum |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902436157 PECOS PAC ID: 7113357831 Enrollment ID: I20200421001894 |
| Provider Name | Nayale Lafleur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821591603 PECOS PAC ID: 6901227818 Enrollment ID: I20200602000592 |
| Provider Name | Rajeena A Pillai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104453653 PECOS PAC ID: 5890117659 Enrollment ID: I20200624000834 |
| Provider Name | Jakyung Jung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164043139 PECOS PAC ID: 0749602431 Enrollment ID: I20200625002607 |
| Provider Name | Joy Dallessio |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811358302 PECOS PAC ID: 2466879937 Enrollment ID: I20200828000932 |
| Provider Name | Rashedul Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376169730 PECOS PAC ID: 1951729623 Enrollment ID: I20200911001271 |
| Provider Name | Tasha T Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730513631 PECOS PAC ID: 3678992427 Enrollment ID: I20200929001805 |
| Provider Name | Craig Christopher Bhoorasingh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275996878 PECOS PAC ID: 5597175935 Enrollment ID: I20201113001057 |
| Provider Name | Shyan Jagdeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205459534 PECOS PAC ID: 7810308111 Enrollment ID: I20201117002010 |
| Provider Name | Emily Therese Casello |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780230532 PECOS PAC ID: 6709298060 Enrollment ID: I20201210002507 |
| Provider Name | Valerie Cantave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568063378 PECOS PAC ID: 4688086879 Enrollment ID: I20201211001408 |
| Provider Name | Mohammadreza Feizi Lighvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699392894 PECOS PAC ID: 3678985587 Enrollment ID: I20201217003008 |
| Provider Name | Genna S Rubenstein |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538727490 PECOS PAC ID: 2163834078 Enrollment ID: I20201218000181 |
| Provider Name | Crysti Mincey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881231967 PECOS PAC ID: 1850703513 Enrollment ID: I20201222001141 |
| Provider Name | Fatima Gazayeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770062226 PECOS PAC ID: 0345655148 Enrollment ID: I20210208002325 |
| Provider Name | Arash Arvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982048872 PECOS PAC ID: 5092078907 Enrollment ID: I20210217001340 |
| Provider Name | Christopher Lino Rey Dy Rama |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245838861 PECOS PAC ID: 2365857422 Enrollment ID: I20210223001474 |
| Provider Name | Ashley Bullard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144521402 PECOS PAC ID: 0345656906 Enrollment ID: I20210304002360 |
| Provider Name | Devin Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760915425 PECOS PAC ID: 7719242163 Enrollment ID: I20210309000071 |
| Provider Name | Carine R Renois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740894237 PECOS PAC ID: 7113334848 Enrollment ID: I20210325000999 |
| Provider Name | Katie Kozulla |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194177659 PECOS PAC ID: 5395154165 Enrollment ID: I20210506002601 |
| Provider Name | Franckel Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992254395 PECOS PAC ID: 9537428578 Enrollment ID: I20210630003016 |
| Provider Name | Shannon-kaye Marshall |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1265015952 PECOS PAC ID: 1254733819 Enrollment ID: I20210706002252 |
| Provider Name | Mina Fawzy Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538833371 PECOS PAC ID: 7113322272 Enrollment ID: I20210901003476 |
| Provider Name | Mordecai Wondesen Marshall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962165472 PECOS PAC ID: 1850789843 Enrollment ID: I20211025001131 |
| Provider Name | Rochelle Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861076176 PECOS PAC ID: 3870981319 Enrollment ID: I20211102002092 |
| Provider Name | Sarah Churba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841882990 PECOS PAC ID: 7214326636 Enrollment ID: I20211105000399 |
| Provider Name | Caroline Louise Ernecoff |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760717201 PECOS PAC ID: 9436548690 Enrollment ID: I20211110001326 |
| Provider Name | Joshua Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508278656 PECOS PAC ID: 1052701679 Enrollment ID: I20211214000314 |
| Provider Name | Robyn Avigdor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558780270 PECOS PAC ID: 0749671956 Enrollment ID: I20211223000856 |
| Provider Name | Natalie Carbuccia Carbuccia |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407260524 PECOS PAC ID: 5597156331 Enrollment ID: I20220105000791 |
| Provider Name | Suze Pacius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174864185 PECOS PAC ID: 8325430564 Enrollment ID: I20220119002363 |
| Provider Name | Merrin Abraham |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306467253 PECOS PAC ID: 5597158584 Enrollment ID: I20220216000587 |
| Provider Name | Melissa Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437818630 PECOS PAC ID: 6608261391 Enrollment ID: I20220316000321 |
| Provider Name | Kia Nichole Antipuesto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639844434 PECOS PAC ID: 5597150649 Enrollment ID: I20220328001499 |
| Provider Name | Marissa Silber |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316568280 PECOS PAC ID: 7113312273 Enrollment ID: I20220328001618 |
| Provider Name | Oluwafemi David Jimoh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215692611 PECOS PAC ID: 4981090941 Enrollment ID: I20220331001586 |
| Provider Name | Nneka Josephine Umeh |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093462178 PECOS PAC ID: 3274929427 Enrollment ID: I20220415000492 |
| Provider Name | Amina Djozo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467193383 PECOS PAC ID: 1456748680 Enrollment ID: I20220418002099 |
| Provider Name | Larry Malkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245792043 PECOS PAC ID: 6800124207 Enrollment ID: I20220616002992 |
| Provider Name | Dhara Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215674304 PECOS PAC ID: 3678952728 Enrollment ID: I20220620001213 |
| Provider Name | Thair Al-ameri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083353684 PECOS PAC ID: 2769861434 Enrollment ID: I20220627001882 |
| Provider Name | Juana Miranda-lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073838660 PECOS PAC ID: 5395161970 Enrollment ID: I20220707000843 |
| Provider Name | Alison Nicole Mcandrew |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053058537 PECOS PAC ID: 9234519984 Enrollment ID: I20220712001533 |
| Provider Name | Jessica Notte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285026997 PECOS PAC ID: 9436479631 Enrollment ID: I20220715001905 |
| Provider Name | Lauren Ashely Goodwin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548908221 PECOS PAC ID: 4981085818 Enrollment ID: I20220722001842 |
| Provider Name | Adebola Yewande Afolayan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1740917913 PECOS PAC ID: 3779966890 Enrollment ID: I20220822002782 |
| Provider Name | David Murray Corwin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770538381 PECOS PAC ID: 1759766645 Enrollment ID: I20220913002262 |
| Provider Name | Monica Yvonne Lupo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528575735 PECOS PAC ID: 0042686925 Enrollment ID: I20221018001296 |
| Provider Name | Milad Parsa Moqadam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548980709 PECOS PAC ID: 2264808187 Enrollment ID: I20221018002800 |
| Provider Name | Osamede Agho |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1386366862 PECOS PAC ID: 3870960818 Enrollment ID: I20221104001072 |
| Provider Name | Amy Gabriel Alken |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184151870 PECOS PAC ID: 6507234911 Enrollment ID: I20221116000671 |
| Provider Name | Christine Canlas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578296562 PECOS PAC ID: 3779951975 Enrollment ID: I20221118002347 |
| Provider Name | Hasina Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689390007 PECOS PAC ID: 9133597164 Enrollment ID: I20221123001762 |
| Provider Name | Claudette Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457911059 PECOS PAC ID: 4284002189 Enrollment ID: I20221128001290 |
| Provider Name | Ishtiaque A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518675933 PECOS PAC ID: 8022487057 Enrollment ID: I20221213002185 |
| Provider Name | Zohra Moshref |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093339848 PECOS PAC ID: 4486024130 Enrollment ID: I20221221002325 |
| Provider Name | Amy Mae Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205508843 PECOS PAC ID: 5991175473 Enrollment ID: I20221227000783 |
| Provider Name | Sheri Lyn Muneno |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215689401 PECOS PAC ID: 9638549702 Enrollment ID: I20230105002759 |
| Provider Name | Mohammad Harun Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184358616 PECOS PAC ID: 1850761859 Enrollment ID: I20230109002507 |
| Provider Name | Fariahh Fazil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053954503 PECOS PAC ID: 8527490598 Enrollment ID: I20230125003297 |
| Provider Name | Olorunfemi Emmanuel Ajikan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508527946 PECOS PAC ID: 4587036389 Enrollment ID: I20230203001332 |
| Provider Name | Tambi Isaac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578275251 PECOS PAC ID: 0244602068 Enrollment ID: I20230203002031 |
| Provider Name | Adenike Rasheedat Sulaiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063127256 PECOS PAC ID: 2567834286 Enrollment ID: I20230207000156 |
| Provider Name | Osa C Guobadia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306402268 PECOS PAC ID: 9537560602 Enrollment ID: I20230209002229 |
| Provider Name | Ronald Gordon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659453108 PECOS PAC ID: 3476508797 Enrollment ID: I20230214002424 |
| Provider Name | Carissa Marie Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821307646 PECOS PAC ID: 2264627132 Enrollment ID: I20230215002097 |
| Provider Name | Sarah Michelle Teague |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922360148 PECOS PAC ID: 2961875141 Enrollment ID: I20230309000732 |
| Provider Name | Emmanuel Mensah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386343705 PECOS PAC ID: 8022482611 Enrollment ID: I20230322001136 |
| Provider Name | Ryan Joseph Mumpar Buzon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760181028 PECOS PAC ID: 9638543192 Enrollment ID: I20230323001712 |
| Provider Name | Stella Marie Dy Rama |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245815414 PECOS PAC ID: 3274908413 Enrollment ID: I20230331001192 |
| Provider Name | Monica M Flanagan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417697251 PECOS PAC ID: 7618342866 Enrollment ID: I20230331001743 |
| Provider Name | Collin Carmille Bucol |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275239485 PECOS PAC ID: 4587039748 Enrollment ID: I20230331002073 |
| Provider Name | Ryan Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689389868 PECOS PAC ID: 2466416813 Enrollment ID: I20230419001284 |
| Provider Name | Leighann Elise Davis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750087987 PECOS PAC ID: 7113383225 Enrollment ID: I20230516001339 |
| Provider Name | Andrew Toenniessen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518580612 PECOS PAC ID: 0648692186 Enrollment ID: I20230605002139 |
| Provider Name | Jorina Carampatana |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588362560 PECOS PAC ID: 7618335399 Enrollment ID: I20230628002049 |
| Provider Name | Kristen Catania |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457036477 PECOS PAC ID: 7113387911 Enrollment ID: I20230712000683 |
| Provider Name | Ochuko Iboyitie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154014017 PECOS PAC ID: 2668832031 Enrollment ID: I20230717002471 |
| Provider Name | Donnetta Davis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1801581715 PECOS PAC ID: 4880054261 Enrollment ID: I20230717002676 |
| Provider Name | Alisha Grayson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174781553 PECOS PAC ID: 8921493677 Enrollment ID: I20230718004184 |
| Provider Name | Chadwick Baugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205529567 PECOS PAC ID: 3577924455 Enrollment ID: I20230726000581 |
| Provider Name | Lucille Lore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659912608 PECOS PAC ID: 3971964347 Enrollment ID: I20230801003588 |
| Provider Name | Jennifer Emeka |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790102598 PECOS PAC ID: 6608238688 Enrollment ID: I20230809000403 |
| Provider Name | Raghini Esther Paulina Raja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306520978 PECOS PAC ID: 2163884891 Enrollment ID: I20230814000448 |
| Provider Name | Yves H Jean |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003590266 PECOS PAC ID: 4486016128 Enrollment ID: I20230814000644 |
| Provider Name | Jennifer Mora |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588386817 PECOS PAC ID: 5799147039 Enrollment ID: I20230817002416 |
| Provider Name | Mohammed Shafiul Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902500390 PECOS PAC ID: 3476916388 Enrollment ID: I20230824003832 |
| Provider Name | Valentina Glebova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588341044 PECOS PAC ID: 3173986304 Enrollment ID: I20230905003746 |
| Provider Name | Babak Nakhjavan Shahraki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528740784 PECOS PAC ID: 8123482346 Enrollment ID: I20230906003704 |
| Provider Name | Morris Ibeawuchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467137125 PECOS PAC ID: 8022472976 Enrollment ID: I20230912001447 |
| Provider Name | Alexandria Marcella Hutchins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013792654 PECOS PAC ID: 8527422070 Enrollment ID: I20230915002979 |
| Provider Name | Priscilla Ting |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386140713 PECOS PAC ID: 7517311988 Enrollment ID: I20231004000926 |
| Provider Name | May Thu Zin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831970052 PECOS PAC ID: 9830545367 Enrollment ID: I20231019002073 |
| Provider Name | Shraddha Lohani |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144965211 PECOS PAC ID: 5092161562 Enrollment ID: I20231020000321 |
| Provider Name | Joseph Pierrot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548586159 PECOS PAC ID: 2365898749 Enrollment ID: I20231020001136 |
| Provider Name | Tahmida Mahjabeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083393110 PECOS PAC ID: 8729434634 Enrollment ID: I20231030001875 |
| Provider Name | Timothy Oseaga Ihongbe |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528849551 PECOS PAC ID: 9133576580 Enrollment ID: I20231107003052 |
| Provider Name | Christian Defournoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093041501 PECOS PAC ID: 6305238890 Enrollment ID: I20231121000656 |
| Provider Name | Marie Guerline Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356516447 PECOS PAC ID: 9830547322 Enrollment ID: I20231121003817 |
| Provider Name | Edmond Samadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477121507 PECOS PAC ID: 9537517610 Enrollment ID: I20231130000218 |
| Provider Name | Nikita Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023655834 PECOS PAC ID: 7012365133 Enrollment ID: I20231130001730 |
| Provider Name | Margaret Mary Curley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1578754099 PECOS PAC ID: 9234588559 Enrollment ID: I20231212003470 |
| Provider Name | Rokeya Begum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801668041 PECOS PAC ID: 7517317324 Enrollment ID: I20231220000532 |
| Provider Name | Momna Wazir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033988654 PECOS PAC ID: 3375994049 Enrollment ID: I20240106000251 |
| Provider Name | Janeen Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619337714 PECOS PAC ID: 5890125728 Enrollment ID: I20240129002275 |
| Provider Name | Brian Cujilan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376319210 PECOS PAC ID: 6901259647 Enrollment ID: I20240129003648 |
| Provider Name | Shaista Noor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316708209 PECOS PAC ID: 2668825019 Enrollment ID: I20240201001261 |
| Provider Name | Phelandrecis Balmonte Rayco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942473681 PECOS PAC ID: 7618311754 Enrollment ID: I20240216003142 |
| Provider Name | Geena Bruno |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760196521 PECOS PAC ID: 6709220221 Enrollment ID: I20240222003261 |
| Provider Name | Arwinder Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982468005 PECOS PAC ID: 2961847140 Enrollment ID: I20240227003567 |
| Provider Name | Sandra M Guiteau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154044006 PECOS PAC ID: 6901261593 Enrollment ID: I20240227003758 |
| Provider Name | Nouridine Ada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801576913 PECOS PAC ID: 7214374909 Enrollment ID: I20240318000360 |
| Provider Name | Dayo Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104683226 PECOS PAC ID: 6204273899 Enrollment ID: I20240319000516 |
| Provider Name | Esther Mateo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548028434 PECOS PAC ID: 6709223241 Enrollment ID: I20240320001983 |
| Provider Name | Mohammad Kamrul Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386402089 PECOS PAC ID: 5890132146 Enrollment ID: I20240321002341 |
| Provider Name | Mary Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588857866 PECOS PAC ID: 5395065247 Enrollment ID: I20240322003248 |
| Provider Name | Stephen Dane Frank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467080465 PECOS PAC ID: 1153769849 Enrollment ID: I20240401000605 |
| Provider Name | Erin Callahan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497514822 PECOS PAC ID: 1355789686 Enrollment ID: I20240405002215 |
| Provider Name | Parveen Banu Ghnai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780436600 PECOS PAC ID: 1951740869 Enrollment ID: I20240411002225 |
| Provider Name | David Alarcon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912491226 PECOS PAC ID: 1153760723 Enrollment ID: I20240415004033 |
| Provider Name | Tsippora Winkelstein |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396453338 PECOS PAC ID: 3072953702 Enrollment ID: I20240429002975 |
| Provider Name | Pamela Batista |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275263451 PECOS PAC ID: 3476994161 Enrollment ID: I20240513001451 |
| Provider Name | Victoria Amber Sanchez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174370654 PECOS PAC ID: 2466893151 Enrollment ID: I20240513001494 |
Rajesh Kalra M.d P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 178-11 Union Turnpike, Fresh Meadows, NY 11366 Phone: 516-729-7282 | |
Metar Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7716 164th St, Fresh Meadows, NY 11366 Phone: 718-969-6100 Fax: 718-969-6103 | |
Bamshad Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6925 170th St, Fresh Meadows, NY 11365 Phone: 646-217-2730 | |
Sara Malakov Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7119 162nd St # Cf-c, Fresh Meadows, NY 11365 Phone: 718-475-0500 | |
Frank Evanov Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19303 Union Tpke, Fresh Meadows, NY 11366 Phone: 718-217-8400 | |
Nyhq-center For Developmental Disabilities Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5916 174th St, Fresh Meadows, NY 11365 Phone: 718-670-2731 Fax: 516-437-4167 | |
Rite Med Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6136 170th St Apt M4, Fresh Meadows, NY 11365 Phone: 310-709-1236 |