| Schenectady Physician Group | |
|
526 Altamont Ave Schenectady NY 12303-1039 | |
| (518) 346-6121 | |
| Not Available |
| Full Name | Schenectady Physician Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 526 Altamont Ave, Schenectady, New York |
| Authorized Official Name and Position | Yitty Falkowitz (MEMBER) |
| Authorized Official Contact | 2127346621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Schenectady Physician Group 4770 White Plains Rd Bronx NY 10470-1104 Ph: (718) 931-9700 | Schenectady Physician Group 526 Altamont Ave Schenectady NY 12303-1039 Ph: (518) 346-6121 |
| NPI Number | 1841788767 |
|---|---|
| Provider Enumeration Date | 04/26/2018 |
| Last Update Date | 01/19/2023 |
| Medicare PECOS PAC ID | 2567737893 |
|---|---|
| Medicare Enrollment ID | O20200116002973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841788767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (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 | Nazia Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356433858 PECOS PAC ID: 2567480650 Enrollment ID: I20070924000568 |
| Provider Name | Mamoon Daas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053318576 PECOS PAC ID: 9931224797 Enrollment ID: I20100916000749 |
| Provider Name | Marianne A Mustafa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497841860 PECOS PAC ID: 8325097793 Enrollment ID: I20111121000637 |
| Provider Name | Nicole M George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801171632 PECOS PAC ID: 4385803121 Enrollment ID: I20120314000150 |
| Provider Name | Jason N Lieu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407163827 PECOS PAC ID: 2062640832 Enrollment ID: I20140124001784 |
| Provider Name | Daniel Cunningham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427308980 PECOS PAC ID: 9537478698 Enrollment ID: I20160826001704 |
| Provider Name | Ashleigh Maria Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285159970 PECOS PAC ID: 7113283284 Enrollment ID: I20171106001034 |
| Provider Name | Erin Kathryn Student |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043866346 PECOS PAC ID: 2466782412 Enrollment ID: I20190918001377 |
| Provider Name | Aimalohi Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750949640 PECOS PAC ID: 4981089323 Enrollment ID: I20220921000315 |
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Capitalcare Family Practice Rotterdam Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1925 Curry Rd, Schenectady, NY 12303 Phone: 518-356-5377 Fax: 518-881-1489 | |
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