| Sarah Neuman Nursing Home - Medical Dept | |
|
845 Palmer Ave Attn Medical Department Mamaroneck NY 10543-2406 | |
| (914) 864-5856 | |
| Not Available |
| Full Name | Sarah Neuman Nursing Home - Medical Dept |
|---|---|
| Speciality | Internal Medicine |
| Location | 845 Palmer Ave, Mamaroneck, New York |
| Authorized Official Name and Position | Audrey Weiner (CEO) |
| Authorized Official Contact | 2128704600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Neuman Nursing Home - Medical Dept 845 Palmer Ave Attn Medical Department Mamaroneck NY 10543-2406 Ph: (914) 864-5856 | Sarah Neuman Nursing Home - Medical Dept 845 Palmer Ave Attn Medical Department Mamaroneck NY 10543-2406 Ph: (914) 864-5856 |
| NPI Number | 1275608390 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 04/11/2018 |
| Medicare PECOS PAC ID | 9436172723 |
|---|---|
| Medicare Enrollment ID | O20060112000816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275608390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 5909302N (New York) | Primary |
| 363L00000X | Nurse Practitioner | 5909302N (New York) | Secondary |
| Provider Name | Brigid A Tracey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205049699 PECOS PAC ID: 4486615077 Enrollment ID: I20041026001212 |
| Provider Name | Daniel Markowicz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699952176 PECOS PAC ID: 3072666817 Enrollment ID: I20090728000002 |
| Provider Name | Karunadevi Kandiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114066172 PECOS PAC ID: 2668653320 Enrollment ID: I20110301000260 |
| Provider Name | Loretta M Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538289533 PECOS PAC ID: 9830279124 Enrollment ID: I20150522001926 |
| Provider Name | Shine Mary Philip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538519954 PECOS PAC ID: 8123368776 Enrollment ID: I20190319002019 |
| Provider Name | Eleina Sapoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073164059 PECOS PAC ID: 7214369933 Enrollment ID: I20201201001076 |
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