| Wellbe New York Medical Pc | |
|
100 S Clinton Ave Rochester NY 14604-1846 | |
| (855) 443-3224 | |
| (585) 895-6246 |
| Full Name | Wellbe New York Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 S Clinton Ave, Rochester, New York |
| Authorized Official Name and Position | Iyad Houshan (PRESIDENT) |
| Authorized Official Contact | 3128727559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellbe New York Medical Pc 225 W Washington St Ste 1700 Chicago IL 60606-3404 Ph: () - | Wellbe New York Medical Pc 100 S Clinton Ave Rochester NY 14604-1846 Ph: (855) 443-3224 |
| NPI Number | 1902586712 |
|---|---|
| Provider Enumeration Date | 07/18/2023 |
| Last Update Date | 01/22/2024 |
| Medicare PECOS PAC ID | 6709233497 |
|---|---|
| Medicare Enrollment ID | O20231117001533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902586712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Raghu Ram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639138597 PECOS PAC ID: 3870673858 Enrollment ID: I20080103000141 |
| Provider Name | Amanda S Buell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235380619 PECOS PAC ID: 4688711062 Enrollment ID: I20091019000159 |
| Provider Name | Elizabeth A Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245416387 PECOS PAC ID: 1052458130 Enrollment ID: I20091021000782 |
| Provider Name | Laura A Wells Spicer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255593570 PECOS PAC ID: 4981854213 Enrollment ID: I20121023000642 |
| Provider Name | Jill Felice Schwartz-chevlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295767911 PECOS PAC ID: 5092737619 Enrollment ID: I20200515000951 |
| Provider Name | Yevgeniya L Rabinovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235504606 PECOS PAC ID: 4981010659 Enrollment ID: I20210303001963 |
| Provider Name | Iyad G. Houshan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497773287 PECOS PAC ID: 3274538251 Enrollment ID: I20231117001863 |
| Provider Name | Shawn Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639275332 PECOS PAC ID: 0749250744 Enrollment ID: I20231219000112 |
| Provider Name | Julianne Bellavance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740232164 PECOS PAC ID: 3274895511 Enrollment ID: I20231219002630 |
| Provider Name | Janice Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053563106 PECOS PAC ID: 8325105117 Enrollment ID: I20240508001296 |
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