| Ryan Chelsea Clinton C.h.c. | |
|
645 10th Ave New York NY 10036 | |
| (212) 265-4500 | |
| (212) 531-7514 |
| Full Name | Ryan Chelsea Clinton C.h.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 645 10th Ave, New York, New York |
| Authorized Official Name and Position | Daniel Pichinson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2122654500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Chelsea Clinton C.h.c. 645 10th Ave New York NY 10036 Ph: (212) 265-4500 | Ryan Chelsea Clinton C.h.c. 645 10th Ave New York NY 10036 Ph: (212) 265-4500 |
| NPI Number | 1215978960 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 01/25/2024 |
| Medicare PECOS PAC ID | 5193614857 |
|---|---|
| Medicare Enrollment ID | O20040311001283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215978960 | NPI | - | NPPES |
| 02182103 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 1989061 (New York) | Primary |
| Provider Name | Yasmin A. Hassan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023033644 PECOS PAC ID: 6305834854 Enrollment ID: I20040504000110 |
| Provider Name | Robert M Simon |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851365449 PECOS PAC ID: 8921086299 Enrollment ID: I20040713000019 |
| Provider Name | Ellen Birenbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447220736 PECOS PAC ID: 0547234791 Enrollment ID: I20040823001453 |
| Provider Name | Guadalupe I Macias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669487484 PECOS PAC ID: 7416911896 Enrollment ID: I20041116000268 |
| Provider Name | Jorge N Kirschtein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629177209 PECOS PAC ID: 3476509621 Enrollment ID: I20050330000801 |
| Provider Name | Gabriel Ionescu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750315628 PECOS PAC ID: 9133126485 Enrollment ID: I20061028000045 |
| Provider Name | Erica Vero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760658892 PECOS PAC ID: 4981771755 Enrollment ID: I20080919000198 |
| Provider Name | Tamara Goldberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134388952 PECOS PAC ID: 0648339333 Enrollment ID: I20091109000544 |
| Provider Name | David Ochshorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881747780 PECOS PAC ID: 8729120837 Enrollment ID: I20100127000420 |
| Provider Name | Daniel J Baxter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316191687 PECOS PAC ID: 9931388618 Enrollment ID: I20110127000044 |
| Provider Name | Eric M Wahl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275667875 PECOS PAC ID: 7113108325 Enrollment ID: I20110222000228 |
| Provider Name | Jeanie Tin Yen Tse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427102383 PECOS PAC ID: 1850559865 Enrollment ID: I20120222000557 |
| Provider Name | Angela Chung Hon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801974944 PECOS PAC ID: 3476620105 Enrollment ID: I20120309000081 |
| Provider Name | Zehra Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740414028 PECOS PAC ID: 2365683539 Enrollment ID: I20130731000081 |
| Provider Name | Roseann Guglielmo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730491903 PECOS PAC ID: 8527200013 Enrollment ID: I20130813000476 |
| Provider Name | Edward Solis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558569335 PECOS PAC ID: 9537302856 Enrollment ID: I20130905000115 |
| Provider Name | Jessica C Sessions |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093748014 PECOS PAC ID: 0840425625 Enrollment ID: I20131101001574 |
| Provider Name | Madeline Jack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093731507 PECOS PAC ID: 1052549979 Enrollment ID: I20140122000659 |
| Provider Name | Sachi Brittin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649585670 PECOS PAC ID: 9133362718 Enrollment ID: I20150819008542 |
| Provider Name | Deepti Zalavadia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932493905 PECOS PAC ID: 0941519771 Enrollment ID: I20151019001344 |
| Provider Name | Jonnathan C Figueroa |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1366766354 PECOS PAC ID: 5890095475 Enrollment ID: I20151203002824 |
| Provider Name | Peter Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982869467 PECOS PAC ID: 5092995688 Enrollment ID: I20151215001136 |
| Provider Name | Lydia J Yeager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164828406 PECOS PAC ID: 3870895154 Enrollment ID: I20160104000719 |
| Provider Name | Doris Marilu Chavez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316101124 PECOS PAC ID: 9537332572 Enrollment ID: I20160104001374 |
| Provider Name | Emmett Robinson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1174771240 PECOS PAC ID: 6901102201 Enrollment ID: I20160314000633 |
| Provider Name | Miquelle Patterson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1659565810 PECOS PAC ID: 8325344633 Enrollment ID: I20160314000735 |
| Provider Name | Soowon Cho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639539869 PECOS PAC ID: 9234436817 Enrollment ID: I20160325000206 |
| Provider Name | Jacqueline D Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184030124 PECOS PAC ID: 1951612910 Enrollment ID: I20170110002639 |
| Provider Name | Judith E Rosen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588097273 PECOS PAC ID: 4789953746 Enrollment ID: I20170706002189 |
| Provider Name | Jennine Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255768719 PECOS PAC ID: 8729345566 Enrollment ID: I20171201002227 |
| Provider Name | Cory C Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669882551 PECOS PAC ID: 7810259215 Enrollment ID: I20180323000524 |
| Provider Name | Patricia Villalba |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1083940423 PECOS PAC ID: 0143652073 Enrollment ID: I20191114003424 |
| Provider Name | Cameron Hetzler |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1518410471 PECOS PAC ID: 8426323296 Enrollment ID: I20200103001814 |
| Provider Name | Kendall B Rao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982067765 PECOS PAC ID: 5395039234 Enrollment ID: I20200211002966 |
| Provider Name | Luz House |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104226638 PECOS PAC ID: 3971867623 Enrollment ID: I20200212000763 |
| Provider Name | Jeffry D Mutuc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073044046 PECOS PAC ID: 8628314762 Enrollment ID: I20201123002527 |
| Provider Name | Arleigh J Salce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598364366 PECOS PAC ID: 5698188332 Enrollment ID: I20210119001918 |
| Provider Name | Brianna N Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629621032 PECOS PAC ID: 5698181519 Enrollment ID: I20210301001865 |
| Provider Name | Judith T Rosenfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942750609 PECOS PAC ID: 0143636563 Enrollment ID: I20210310001090 |
| Provider Name | Carmen E Parrilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124561345 PECOS PAC ID: 2466856653 Enrollment ID: I20210810003259 |
| Provider Name | Amy Schlauch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679079941 PECOS PAC ID: 6406192830 Enrollment ID: I20211103001870 |
| Provider Name | Arielle R Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467994251 PECOS PAC ID: 6800287962 Enrollment ID: I20211228000163 |
| Provider Name | Amy Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053844233 PECOS PAC ID: 2961829338 Enrollment ID: I20220420001505 |
| Provider Name | Sophia Np Nurani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568704591 PECOS PAC ID: 7315161049 Enrollment ID: I20220524001461 |
| Provider Name | Christian A Olivo Freites |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124540927 PECOS PAC ID: 5193061497 Enrollment ID: I20230116000040 |
| Provider Name | Caleigh A Lofstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083339162 PECOS PAC ID: 8123499746 Enrollment ID: I20230118002383 |
| Provider Name | Chenhao Lu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1629651484 PECOS PAC ID: 5597118232 Enrollment ID: I20240129003415 |
| Provider Name | Elizabeth L Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104510205 PECOS PAC ID: 2567809411 Enrollment ID: I20240327001404 |
| Provider Name | Christopher Landry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518524453 PECOS PAC ID: 3274075429 Enrollment ID: I20240604001440 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
Debra Green, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 | |
S. Nadesan Physician, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 | |
Avraham Y Henoch Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 | |
Vincent Esposito Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
Jeffrey Glick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 | |
Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |