Square Care Medical Group, Llp | |
40 Crossways Park Dr Woodbury NY 11797-2036 | |
(516) 496-3900 | |
Not Available |
Full Name | Square Care Medical Group, Llp |
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Speciality | Obstetrics & Gynecology |
Location | 40 Crossways Park Dr, Woodbury, New York |
Authorized Official Name and Position | Henry K Prince (CEO) |
Authorized Official Contact | 5164963900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Square Care Medical Group, Llp 900 Merchants Concourse Ste 216 Westbury NY 11590-5114 Ph: (516) 758-2556 | Square Care Medical Group, Llp 40 Crossways Park Dr Woodbury NY 11797-2036 Ph: (516) 496-3900 |
NPI Number | 1457392763 |
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Provider Enumeration Date | 06/09/2006 |
Last Update Date | 03/19/2019 |
Medicare PECOS PAC ID | 7012938434 |
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Medicare Enrollment ID | O20051220000236 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457392763 | NPI | - | NPPES |
Provider Name | Marc J Messineo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548232093 PECOS PAC ID: 1052224136 Enrollment ID: I20031106000317 |
Provider Name | Scott F Nodelman |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1780753830 PECOS PAC ID: 7315835469 Enrollment ID: I20040309001138 |
Provider Name | Robert M Nadell |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1801825344 PECOS PAC ID: 4284525536 Enrollment ID: I20040324000676 |
Provider Name | Melissa H Oppenheim |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1871501775 PECOS PAC ID: 6204826613 Enrollment ID: I20040517001191 |
Provider Name | Jacqueline Pandolfi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225197866 PECOS PAC ID: 6507840428 Enrollment ID: I20040616001583 |
Provider Name | Gilad A Greenberg |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1356425797 PECOS PAC ID: 5294713608 Enrollment ID: I20040712001203 |
Provider Name | Dreux R Patton |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1699852384 PECOS PAC ID: 3072593995 Enrollment ID: I20040721001748 |
Provider Name | Christopher J Berard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013921592 PECOS PAC ID: 5395709026 Enrollment ID: I20041112000871 |
Provider Name | Jennifer T Hanauer |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1679626873 PECOS PAC ID: 7113985227 Enrollment ID: I20041221000584 |
Provider Name | Salvatore A Lopresti |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1952330318 PECOS PAC ID: 1658324702 Enrollment ID: I20050301000319 |
Provider Name | Lucy P Gade |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1700856325 PECOS PAC ID: 4082634134 Enrollment ID: I20051203000055 |
Provider Name | Jeanine K Morris-rush |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1831275494 PECOS PAC ID: 8022030501 Enrollment ID: I20051227000493 |
Provider Name | Henry K Prince |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1518043173 PECOS PAC ID: 5395767214 Enrollment ID: I20051227000502 |
Provider Name | Philip A Schoenfeld |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1104903293 PECOS PAC ID: 5597787077 Enrollment ID: I20051227000550 |
Provider Name | Julia Aronovich |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1619053535 PECOS PAC ID: 8224045521 Enrollment ID: I20060310000633 |
Provider Name | Randi M Rothstein |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1437233863 PECOS PAC ID: 0941244578 Enrollment ID: I20060323000080 |
Provider Name | Christine Melgar |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1598849911 PECOS PAC ID: 3678517208 Enrollment ID: I20060323000100 |
Provider Name | Matthew J Dilena |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1710927363 PECOS PAC ID: 1052312360 Enrollment ID: I20070129000356 |
Provider Name | Anita F Sadaty |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1447349295 PECOS PAC ID: 8820199813 Enrollment ID: I20070720000235 |
Provider Name | Helaine F Larsen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730207135 PECOS PAC ID: 6608964481 Enrollment ID: I20071112000433 |
Provider Name | Michelle A Smith-levitin |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1285794305 PECOS PAC ID: 6709974330 Enrollment ID: I20071115000547 |
Provider Name | Paul Byrne |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1801885835 PECOS PAC ID: 4486733086 Enrollment ID: I20080507000651 |
Provider Name | Jessica Ventimiglia |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1740486372 PECOS PAC ID: 7416026141 Enrollment ID: I20080520000787 |
Provider Name | Marie A Frazzitta |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154481299 PECOS PAC ID: 2062582745 Enrollment ID: I20080606000594 |
Provider Name | Frank Dolisi |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1578652707 PECOS PAC ID: 8325105737 Enrollment ID: I20090330000000 |
Provider Name | Jeffrey N Miller |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1568572014 PECOS PAC ID: 7315088705 Enrollment ID: I20100107000526 |
Provider Name | Jerry G Ninia |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1457350795 PECOS PAC ID: 7810186236 Enrollment ID: I20110114000736 |
Provider Name | Gary M Levine |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1902977796 PECOS PAC ID: 0244267102 Enrollment ID: I20110214000580 |
Provider Name | Robert E Berg |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1336105436 PECOS PAC ID: 9032284872 Enrollment ID: I20111223000099 |
Provider Name | Diana P Leon |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1649538554 PECOS PAC ID: 2062654122 Enrollment ID: I20130820000642 |
Provider Name | Justin M Petrocelli |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1154558856 PECOS PAC ID: 3274777511 Enrollment ID: I20130926000370 |
Provider Name | Helen H Park |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1740417633 PECOS PAC ID: 4486881828 Enrollment ID: I20131211000149 |
Provider Name | Kerry Anp Cummings |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093981540 PECOS PAC ID: 1456581800 Enrollment ID: I20140304000243 |
Provider Name | Wendy C Farrar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891859567 PECOS PAC ID: 1355571522 Enrollment ID: I20140310000175 |
Provider Name | Georgia L Vnook Early |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750473575 PECOS PAC ID: 7012148273 Enrollment ID: I20140401001385 |
Provider Name | Ilia E Calluzzo |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1073741351 PECOS PAC ID: 4385876069 Enrollment ID: I20140411000014 |
Provider Name | Loren Lyons |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053641928 PECOS PAC ID: 9638392277 Enrollment ID: I20140528002041 |
Provider Name | Lisa E Tepfer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861737280 PECOS PAC ID: 0345468385 Enrollment ID: I20140904000798 |
Provider Name | Paul Husserl |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1821249574 PECOS PAC ID: 2769601491 Enrollment ID: I20140911001509 |
Provider Name | Anne-marie Wise |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639555428 PECOS PAC ID: 2860793973 Enrollment ID: I20151215001238 |
Provider Name | Ella Uvadyeva |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1003110180 PECOS PAC ID: 4183928260 Enrollment ID: I20160210001442 |
Provider Name | Cecilia Vanisky |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225253222 PECOS PAC ID: 7719201300 Enrollment ID: I20160405002492 |
Provider Name | Eileen L Perry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942483649 PECOS PAC ID: 1254628761 Enrollment ID: I20160928000124 |
Provider Name | Chris Raju |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1992119812 PECOS PAC ID: 0244585727 Enrollment ID: I20180625002676 |
Provider Name | Lauren Patricia Paccione |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356821805 PECOS PAC ID: 9931450269 Enrollment ID: I20180925002591 |
Provider Name | Krista Wasserman |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1063806552 PECOS PAC ID: 2163776444 Enrollment ID: I20190613001426 |
Provider Name | Jenna Kaiserman |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1881004141 PECOS PAC ID: 2769716893 Enrollment ID: I20190624003159 |
Provider Name | Roseanna Miller |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1558711135 PECOS PAC ID: 4284059205 Enrollment ID: I20200806003377 |
Provider Name | Tatyana Zubkina |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1649634676 PECOS PAC ID: 9335483627 Enrollment ID: I20200916001168 |
Provider Name | Catherine Beecher |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1164841151 PECOS PAC ID: 6406107069 Enrollment ID: I20201215002796 |
Provider Name | Rosa Casamassa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659956035 PECOS PAC ID: 7810306479 Enrollment ID: I20210511002308 |
Provider Name | Michael Santandreu |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1346744463 PECOS PAC ID: 0345594800 Enrollment ID: I20220707002325 |
Provider Name | Sara Pauline Valentino-smith |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1760989693 PECOS PAC ID: 9537541339 Enrollment ID: I20220726002117 |
Provider Name | Shahla M Powell |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1487141743 PECOS PAC ID: 3971989070 Enrollment ID: I20220927001910 |
Provider Name | Linda Aranbayeva |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386310019 PECOS PAC ID: 0941677074 Enrollment ID: I20221102003030 |
Provider Name | Daniil Khaitov |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1215496419 PECOS PAC ID: 3971838046 Enrollment ID: I20230703002931 |
Provider Name | Michelle Soloff |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1972062164 PECOS PAC ID: 3870828999 Enrollment ID: I20230925000197 |
Provider Name | Alexandra Stang |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659054831 PECOS PAC ID: 4587018106 Enrollment ID: I20230929001365 |
Prince Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 80 Crossways Park Dr Suite 200, Woodbury, NY 11797 Phone: 516-802-5025 Fax: 516-802-5026 | |
Robert Courgi Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8565 Jericho Tpke, Woodbury, NY 11797 Phone: 917-913-9993 | |
Essential Medical Diagnostics Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 Eagle Chase, Woodbury, NY 11797 Phone: 516-364-2282 | |
Evidence Based Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Froehlich Farm Blvd, Woodbury, NY 11797 Phone: 516-801-0170 Fax: 845-230-6639 | |
Bayside Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 Eagle Chase, Woodbury, NY 11797 Phone: 516-364-2282 Fax: 516-364-8928 | |
Richard D. Abrash Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Woodbury Rd, Suite I, Woodbury, NY 11797 Phone: 516-364-3100 Fax: 516-364-3154 |