| William F Ryan Chc Inc | |
|
110 W 97th St New York NY 10025 | |
| (212) 749-1820 | |
| (212) 280-4793 |
| Full Name | William F Ryan Chc Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 W 97th St, New York, New York |
| Authorized Official Name and Position | Jose Virella (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2123167906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William F Ryan Chc Inc 110 W 97th St New York NY 10025 Ph: (212) 749-1820 | William F Ryan Chc Inc 110 W 97th St New York NY 10025 Ph: (212) 749-1820 |
| NPI Number | 1851328199 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 07/15/2024 |
| Medicare PECOS PAC ID | 4880596550 |
|---|---|
| Medicare Enrollment ID | O20041023000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851328199 | NPI | - | NPPES |
| 02999264 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Hao Lam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871500777 PECOS PAC ID: 5496644288 Enrollment ID: I20040313000376 |
| Provider Name | Andreas Cohrssen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316947518 PECOS PAC ID: 4789576687 Enrollment ID: I20040326000002 |
| Provider Name | Martin A Aviles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326063702 PECOS PAC ID: 1951293299 Enrollment ID: I20040330000081 |
| Provider Name | Harvey S Hecht |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235196825 PECOS PAC ID: 5193715399 Enrollment ID: I20040518000295 |
| 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 | Doreen A Mensah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437201472 PECOS PAC ID: 4981674561 Enrollment ID: I20040729001576 |
| Provider Name | Lisa L Anderson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1568425767 PECOS PAC ID: 7315910197 Enrollment ID: I20040818001450 |
| Provider Name | Reena Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275795114 PECOS PAC ID: 3870567829 Enrollment ID: I20040824001451 |
| Provider Name | Debora S Velasco |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831110600 PECOS PAC ID: 5496722027 Enrollment ID: I20040914000324 |
| Provider Name | Sandeep Bhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548247638 PECOS PAC ID: 2163470121 Enrollment ID: I20050106000080 |
| Provider Name | Michelle V Soto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417042425 PECOS PAC ID: 0941259725 Enrollment ID: I20050119000493 |
| Provider Name | Jorge N Kirschtein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629177209 PECOS PAC ID: 3476509621 Enrollment ID: I20050330000801 |
| Provider Name | Lisa B Moreno |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1508977208 PECOS PAC ID: 0648215574 Enrollment ID: I20050622000259 |
| Provider Name | Sejal Majmudar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447200548 PECOS PAC ID: 0547291395 Enrollment ID: I20050822001250 |
| Provider Name | Timothy C Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801895248 PECOS PAC ID: 3870528433 Enrollment ID: I20051003000263 |
| Provider Name | Lisa Dabney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578564266 PECOS PAC ID: 4789609389 Enrollment ID: I20051012001104 |
| Provider Name | Debora K Geller |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1083659064 PECOS PAC ID: 6406873975 Enrollment ID: I20051025000402 |
| Provider Name | Robert J Leber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952495483 PECOS PAC ID: 0749206522 Enrollment ID: I20051031000714 |
| Provider Name | Rochelle Lipshutz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578544458 PECOS PAC ID: 7012938863 Enrollment ID: I20051208000653 |
| Provider Name | Alan Tso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871580647 PECOS PAC ID: 0648287730 Enrollment ID: I20060315000061 |
| Provider Name | Alejandro Prigollini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558354308 PECOS PAC ID: 0840207502 Enrollment ID: I20060321000568 |
| Provider Name | Megan E Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790762730 PECOS PAC ID: 6608884390 Enrollment ID: I20060322000103 |
| Provider Name | Kristina L Campton |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1902832777 PECOS PAC ID: 0547268328 Enrollment ID: I20061111000017 |
| Provider Name | Martin J Arron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275553869 PECOS PAC ID: 0446258123 Enrollment ID: I20061111000043 |
| Provider Name | Jason S Ogiste |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396810636 PECOS PAC ID: 6901900711 Enrollment ID: I20070404000430 |
| Provider Name | Devendra A Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366458481 PECOS PAC ID: 4385742105 Enrollment ID: I20070601000321 |
| Provider Name | Natalya Tkachenko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740491927 PECOS PAC ID: 4688765852 Enrollment ID: I20070802000556 |
| Provider Name | Joe-cephus C Brewster |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1033207907 PECOS PAC ID: 8325134430 Enrollment ID: I20071022000188 |
| Provider Name | Frederick S Clare |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932298510 PECOS PAC ID: 1052401601 Enrollment ID: I20071219000505 |
| Provider Name | Donna M Finkelstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235129339 PECOS PAC ID: 2062594989 Enrollment ID: I20080131000307 |
| Provider Name | Stacy Suden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942299037 PECOS PAC ID: 5395828941 Enrollment ID: I20080206000152 |
| Provider Name | Ayodele Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598922866 PECOS PAC ID: 2365517471 Enrollment ID: I20080823000023 |
| Provider Name | Erica Vero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760658892 PECOS PAC ID: 4981771755 Enrollment ID: I20080919000198 |
| Provider Name | Maria C Rosas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194743401 PECOS PAC ID: 8123195781 Enrollment ID: I20080923000664 |
| Provider Name | Ana C Guerra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053564260 PECOS PAC ID: 4082777313 Enrollment ID: I20090113000852 |
| Provider Name | Dalia S Nagel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104083245 PECOS PAC ID: 0042374134 Enrollment ID: I20090204000636 |
| Provider Name | Hok S Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154519601 PECOS PAC ID: 3678638269 Enrollment ID: I20090216000031 |
| Provider Name | Sripriya Tiyyagura Shen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568661874 PECOS PAC ID: 5799840914 Enrollment ID: I20090223000032 |
| Provider Name | Desiree Chow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043410897 PECOS PAC ID: 7214088749 Enrollment ID: I20090624000034 |
| Provider Name | Tamara Goldberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134388952 PECOS PAC ID: 0648339333 Enrollment ID: I20091109000544 |
| Provider Name | Jean W Saleh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083889505 PECOS PAC ID: 6305972696 Enrollment ID: I20100325000629 |
| Provider Name | Angela M Palazzo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255422234 PECOS PAC ID: 9739215880 Enrollment ID: I20100329000728 |
| Provider Name | Victor Kizhner |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699001230 PECOS PAC ID: 5597897249 Enrollment ID: I20100716000161 |
| Provider Name | Daniel J Baxter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316191687 PECOS PAC ID: 9931388618 Enrollment ID: I20110127000044 |
| Provider Name | Andrea Lyman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639196595 PECOS PAC ID: 9133300965 Enrollment ID: I20110225000706 |
| Provider Name | Lydia L Radziul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114183530 PECOS PAC ID: 4284819061 Enrollment ID: I20110420000438 |
| Provider Name | Patricia C Hailey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932275617 PECOS PAC ID: 3577748078 Enrollment ID: I20110427000342 |
| Provider Name | Jaimenee Khemraj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063683779 PECOS PAC ID: 8224213558 Enrollment ID: I20110429000415 |
| Provider Name | Ernest Ast |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982779757 PECOS PAC ID: 3577731785 Enrollment ID: I20110714000037 |
| Provider Name | Barbara A Cheung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023006020 PECOS PAC ID: 8426227067 Enrollment ID: I20110816000384 |
| Provider Name | Deepti Gupta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811275399 PECOS PAC ID: 3779753546 Enrollment ID: I20110906000099 |
| Provider Name | Marilyn M Mota |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881753630 PECOS PAC ID: 2668644477 Enrollment ID: I20111020000009 |
| Provider Name | Helen H Nazario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568665172 PECOS PAC ID: 4082889886 Enrollment ID: I20111206000521 |
| Provider Name | Bruce A Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245370519 PECOS PAC ID: 7214102763 Enrollment ID: I20111212000240 |
| Provider Name | Patricia J Dickey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144490541 PECOS PAC ID: 6305007659 Enrollment ID: I20120412000380 |
| Provider Name | Megha A Manik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538438221 PECOS PAC ID: 6103087382 Enrollment ID: I20120416000231 |
| Provider Name | Brooke A Trenton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255587986 PECOS PAC ID: 4082880752 Enrollment ID: I20120820000439 |
| Provider Name | Sudha Dubey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013296854 PECOS PAC ID: 9335396985 Enrollment ID: I20120904000502 |
| Provider Name | Lee Y Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902081797 PECOS PAC ID: 0042334443 Enrollment ID: I20121018000446 |
| Provider Name | Danna Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881809952 PECOS PAC ID: 5991785099 Enrollment ID: I20130219000356 |
| Provider Name | Elaine B Goldstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699008375 PECOS PAC ID: 2466597901 Enrollment ID: I20130226000290 |
| Provider Name | Robin C Mckinney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306141585 PECOS PAC ID: 3072753219 Enrollment ID: I20130711000028 |
| Provider Name | Adrienne Quirolo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356629877 PECOS PAC ID: 5698918233 Enrollment ID: I20130829000015 |
| Provider Name | Shital Rana |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1629382395 PECOS PAC ID: 3779726310 Enrollment ID: I20130829000028 |
| Provider Name | Roberta Newman Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528286689 PECOS PAC ID: 3678716297 Enrollment ID: I20130830000015 |
| Provider Name | Berta Ramos Ramirez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952334666 PECOS PAC ID: 7315180874 Enrollment ID: I20130830000696 |
| Provider Name | Marc D Rubenstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649298951 PECOS PAC ID: 0941443428 Enrollment ID: I20130902000001 |
| Provider Name | Claudine R Mathieu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679508055 PECOS PAC ID: 4880837236 Enrollment ID: I20130904000186 |
| Provider Name | Venis Tiarra Wilder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396062287 PECOS PAC ID: 9436383288 Enrollment ID: I20131009001501 |
| Provider Name | Julie Anne A Chelouche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003173873 PECOS PAC ID: 1355575952 Enrollment ID: I20131015001422 |
| Provider Name | Stephan B Danik |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588644504 PECOS PAC ID: 0648371708 Enrollment ID: I20131025001694 |
| Provider Name | Jessica C Sessions |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093748014 PECOS PAC ID: 0840425625 Enrollment ID: I20131101001574 |
| Provider Name | Kimberly Charytina Watson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821344987 PECOS PAC ID: 5496981961 Enrollment ID: I20131112001197 |
| Provider Name | Anthony Schmertz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952329260 PECOS PAC ID: 0547496911 Enrollment ID: I20131114000401 |
| Provider Name | Geeta Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225357726 PECOS PAC ID: 9931335106 Enrollment ID: I20131118000227 |
| Provider Name | Taisha L Benjamin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124297122 PECOS PAC ID: 3577799626 Enrollment ID: I20131119000810 |
| Provider Name | Frances Berberena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659571982 PECOS PAC ID: 6608002233 Enrollment ID: I20131203002239 |
| Provider Name | Fern L Fleckman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023041134 PECOS PAC ID: 5092942045 Enrollment ID: I20131218001097 |
| Provider Name | Erin Elizabeth Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760729933 PECOS PAC ID: 4486882974 Enrollment ID: I20140108000095 |
| Provider Name | Joseph Yuen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174836811 PECOS PAC ID: 3173754959 Enrollment ID: I20140319001373 |
| Provider Name | Jiyun Wong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033559745 PECOS PAC ID: 8729219126 Enrollment ID: I20140328000496 |
| Provider Name | Rashanna D Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306041223 PECOS PAC ID: 7719119304 Enrollment ID: I20140414001404 |
| Provider Name | Young J Ahn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871713727 PECOS PAC ID: 3072696509 Enrollment ID: I20140602002271 |
| Provider Name | Renee Klein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619136371 PECOS PAC ID: 4587888789 Enrollment ID: I20140609002166 |
| Provider Name | Yaffa Y Kagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285075697 PECOS PAC ID: 9638396708 Enrollment ID: I20140813001707 |
| Provider Name | Chhaya Chakrabarti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679589774 PECOS PAC ID: 2769600113 Enrollment ID: I20140826001777 |
| Provider Name | Christina M Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902194277 PECOS PAC ID: 3274752381 Enrollment ID: I20140922001670 |
| Provider Name | Robin Reister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740568369 PECOS PAC ID: 5294956819 Enrollment ID: I20141024000768 |
| Provider Name | Janice N John-lewis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992966626 PECOS PAC ID: 8224259858 Enrollment ID: I20141024001060 |
| Provider Name | Kecia-ann M Blissett |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629203096 PECOS PAC ID: 3971825019 Enrollment ID: I20141201001413 |
| Provider Name | Betsy Mathew Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437449691 PECOS PAC ID: 5395067151 Enrollment ID: I20141205000057 |
| Provider Name | Malka Merav Bannet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639467756 PECOS PAC ID: 8426375734 Enrollment ID: I20150326000344 |
| Provider Name | Jessica L Levatino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285924944 PECOS PAC ID: 8729305628 Enrollment ID: I20150401002299 |
| Provider Name | Gitanjali Rajendram |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962694125 PECOS PAC ID: 9032438866 Enrollment ID: I20150429001410 |
| Provider Name | Micheline Lataliza Epstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417245382 PECOS PAC ID: 1153640594 Enrollment ID: I20150506000546 |
| Provider Name | Anya Maddow-zimet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285031351 PECOS PAC ID: 6204156045 Enrollment ID: I20150519002389 |
| Provider Name | Samson Laub |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356613442 PECOS PAC ID: 0840510426 Enrollment ID: I20150521001574 |
| Provider Name | Jessica E Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326438136 PECOS PAC ID: 2466772959 Enrollment ID: I20150526000050 |
| Provider Name | Lauryn Arkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417245879 PECOS PAC ID: 4284955287 Enrollment ID: I20150602002742 |
| Provider Name | Jenna Marie Moulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831583012 PECOS PAC ID: 0345561072 Enrollment ID: I20150608000315 |
| Provider Name | Celine Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225232093 PECOS PAC ID: 9032430442 Enrollment ID: I20150610000344 |
| Provider Name | Meredith E Gentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922347178 PECOS PAC ID: 6507085396 Enrollment ID: I20150610000547 |
| Provider Name | Carmen A Mandac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033559307 PECOS PAC ID: 2264753664 Enrollment ID: I20150611000329 |
| Provider Name | Bruce J Lish |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1154348712 PECOS PAC ID: 7719208917 Enrollment ID: I20150623001508 |
| Provider Name | Jennifer R Mariaschin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316120025 PECOS PAC ID: 8426369943 Enrollment ID: I20150624001146 |
| Provider Name | Takyan Chan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205979051 PECOS PAC ID: 1850603978 Enrollment ID: I20150702000703 |
| Provider Name | Robert Tasca |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1033224209 PECOS PAC ID: 9032421912 Enrollment ID: I20150707000985 |
| Provider Name | Jennifer S Lee |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1407978836 PECOS PAC ID: 0648582437 Enrollment ID: I20150708000916 |
| Provider Name | Richard B Lee |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1801901061 PECOS PAC ID: 4587976014 Enrollment ID: I20150710002635 |
| Provider Name | Andrew H Lam |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1639198906 PECOS PAC ID: 0345553822 Enrollment ID: I20150714000669 |
| Provider Name | Sachi Brittin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649585670 PECOS PAC ID: 9133362718 Enrollment ID: I20150819008542 |
| Provider Name | Rasheedat F Ajala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841698354 PECOS PAC ID: 8426363276 Enrollment ID: I20150824000240 |
| Provider Name | Deepti Zalavadia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932493905 PECOS PAC ID: 0941519771 Enrollment ID: I20151019001344 |
| Provider Name | Janna Rose Lambson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023425907 PECOS PAC ID: 8527377258 Enrollment ID: I20151021000505 |
| Provider Name | Mei Wen Moy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245679828 PECOS PAC ID: 8921308131 Enrollment ID: I20151119001435 |
| Provider Name | Kamara C Aseme |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164781597 PECOS PAC ID: 6709186760 Enrollment ID: I20151123001598 |
| Provider Name | Brian L Africa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033412218 PECOS PAC ID: 2365765344 Enrollment ID: I20151130001144 |
| Provider Name | Jonnathan C Figueroa |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1366766354 PECOS PAC ID: 5890095475 Enrollment ID: I20151203002824 |
| 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 | Gabriel Santisteban |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831341114 PECOS PAC ID: 2466758883 Enrollment ID: I20160311000331 |
| Provider Name | Rebecca D Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639585797 PECOS PAC ID: 8921304924 Enrollment ID: I20160316001690 |
| Provider Name | Victoria E Delgado |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053575639 PECOS PAC ID: 7911075452 Enrollment ID: I20160519000645 |
| Provider Name | Ryan L Mulry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245634377 PECOS PAC ID: 3779873732 Enrollment ID: I20160602001976 |
| Provider Name | Rochelle Slatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043550411 PECOS PAC ID: 5193017069 Enrollment ID: I20160713001761 |
| Provider Name | Jessica Vernon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386963791 PECOS PAC ID: 5799912085 Enrollment ID: I20160823000903 |
| Provider Name | Lourdes M Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649377805 PECOS PAC ID: 8123314036 Enrollment ID: I20160901000384 |
| Provider Name | Sarah Wade W Boatwright |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073856555 PECOS PAC ID: 7113213406 Enrollment ID: I20160913001761 |
| Provider Name | Hana Sichel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225412752 PECOS PAC ID: 6507144854 Enrollment ID: I20161021000137 |
| Provider Name | Kyra Rzhevsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225582901 PECOS PAC ID: 3577841717 Enrollment ID: I20161024000723 |
| Provider Name | Valerie Y Paterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891142535 PECOS PAC ID: 1153609995 Enrollment ID: I20161028000652 |
| Provider Name | Radeyah Hack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811330871 PECOS PAC ID: 0446539779 Enrollment ID: I20161109001646 |
| Provider Name | Catherine Elisabeth Dodds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902127244 PECOS PAC ID: 8123280351 Enrollment ID: I20161111001298 |
| Provider Name | Jessica M Braswell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295051001 PECOS PAC ID: 5597045963 Enrollment ID: I20161201001603 |
| Provider Name | Jill B Apilado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619341294 PECOS PAC ID: 5092096974 Enrollment ID: I20170109001297 |
| Provider Name | Gary E Eddey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942273388 PECOS PAC ID: 3779557087 Enrollment ID: I20170110001170 |
| Provider Name | Michael Jae Woo Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578955019 PECOS PAC ID: 7214218064 Enrollment ID: I20170110001546 |
| Provider Name | Jennifer M Howard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255438891 PECOS PAC ID: 1355632621 Enrollment ID: I20170227001306 |
| Provider Name | Beata Grill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407301682 PECOS PAC ID: 4183908486 Enrollment ID: I20170306001775 |
| Provider Name | Stella M Maniquis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043754591 PECOS PAC ID: 9133403454 Enrollment ID: I20170306002475 |
| Provider Name | Lea Kobayashi Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447524327 PECOS PAC ID: 0446536452 Enrollment ID: I20170405001798 |
| Provider Name | Maribel Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700194818 PECOS PAC ID: 6901175843 Enrollment ID: I20170707002021 |
| Provider Name | Laura F Grossman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871945881 PECOS PAC ID: 0749559342 Enrollment ID: I20170712002973 |
| Provider Name | Whitney E Lieb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487031498 PECOS PAC ID: 9133499494 Enrollment ID: I20170719000532 |
| Provider Name | Lorenzo F Ottaviano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225448715 PECOS PAC ID: 9739450875 Enrollment ID: I20170808000501 |
| Provider Name | Anna Nancy Accime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588074215 PECOS PAC ID: 2961778998 Enrollment ID: I20171019000728 |
| Provider Name | Leanne K Pereira |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790175891 PECOS PAC ID: 6103182209 Enrollment ID: I20171106001888 |
| Provider Name | Caroline S Reid |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104352491 PECOS PAC ID: 4880954965 Enrollment ID: I20180209001904 |
| Provider Name | Juilana M Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972018356 PECOS PAC ID: 8022379437 Enrollment ID: I20180228000066 |
| Provider Name | Cecilia Jang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265870075 PECOS PAC ID: 5890059687 Enrollment ID: I20180502001725 |
| Provider Name | Joan R Bosco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801281324 PECOS PAC ID: 7214291913 Enrollment ID: I20180504001013 |
| Provider Name | Maria Romero-ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508902776 PECOS PAC ID: 6103195243 Enrollment ID: I20180510000805 |
| Provider Name | Elaine M Liebman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558782896 PECOS PAC ID: 3779848726 Enrollment ID: I20180523000733 |
| Provider Name | Alyson Salling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508354473 PECOS PAC ID: 5597011213 Enrollment ID: I20180710002390 |
| Provider Name | Meyling J Oei |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639517287 PECOS PAC ID: 2567718299 Enrollment ID: I20180710002994 |
| Provider Name | Melissa Lozano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467879817 PECOS PAC ID: 0547518185 Enrollment ID: I20180730002689 |
| Provider Name | Adrienne Weiss-harrison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316029093 PECOS PAC ID: 2466702063 Enrollment ID: I20180831000880 |
| Provider Name | Kevin L Yan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609263771 PECOS PAC ID: 7315298916 Enrollment ID: I20180920002107 |
| Provider Name | Lucrece Bonostro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205320769 PECOS PAC ID: 3678824646 Enrollment ID: I20181002000390 |
| Provider Name | Nancy Lai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871975599 PECOS PAC ID: 0547512493 Enrollment ID: I20181004001354 |
| Provider Name | Deborah P Edelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538554936 PECOS PAC ID: 5193079382 Enrollment ID: I20181106001989 |
| Provider Name | Loraine A Camacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619176104 PECOS PAC ID: 6002151586 Enrollment ID: I20190103000932 |
| Provider Name | Mindy Amanda Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679012223 PECOS PAC ID: 1052657863 Enrollment ID: I20190116001345 |
| Provider Name | Johanna E Cabrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821305855 PECOS PAC ID: 3274874268 Enrollment ID: I20190329002275 |
| Provider Name | Phillip Rico S Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427439868 PECOS PAC ID: 0244544468 Enrollment ID: I20190422001208 |
| Provider Name | Hilda Massoud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114491420 PECOS PAC ID: 8426381104 Enrollment ID: I20190612001033 |
| Provider Name | Monica L Dreitcer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689234361 PECOS PAC ID: 9830420330 Enrollment ID: I20191015001680 |
| Provider Name | Karen H Choi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124514583 PECOS PAC ID: 1759612179 Enrollment ID: I20191015003107 |
| Provider Name | Alison Gottlieb |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831683069 PECOS PAC ID: 3173854478 Enrollment ID: I20191018000291 |
| Provider Name | Molly M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013563543 PECOS PAC ID: 6800128711 Enrollment ID: I20191025002107 |
| Provider Name | Fatima Sachwani Maredia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407394968 PECOS PAC ID: 4284902735 Enrollment ID: I20191114000833 |
| Provider Name | Maricela Garcia |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184955866 PECOS PAC ID: 4284944844 Enrollment ID: I20200218002613 |
| Provider Name | Kaitlyn M Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538704622 PECOS PAC ID: 8325475809 Enrollment ID: I20200221001741 |
| Provider Name | Sandra L Curet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568514172 PECOS PAC ID: 2264511732 Enrollment ID: I20200318001773 |
| Provider Name | Rachel T Samouha |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760005201 PECOS PAC ID: 2365869609 Enrollment ID: I20200901000528 |
| Provider Name | Amani Ashley Hambric |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417505298 PECOS PAC ID: 0547680357 Enrollment ID: I20201016001135 |
| Provider Name | Dayna Ashley Heckstall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891399200 PECOS PAC ID: 0840603361 Enrollment ID: I20201230000783 |
| Provider Name | Dwayne M Toomer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396050720 PECOS PAC ID: 6204240583 Enrollment ID: I20210127003082 |
| Provider Name | Kaliko S Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871145300 PECOS PAC ID: 2466868815 Enrollment ID: I20210309002404 |
| Provider Name | Junko Nishita |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609281906 PECOS PAC ID: 9234547696 Enrollment ID: I20210423000787 |
| Provider Name | Lauren M Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659876449 PECOS PAC ID: 6002211612 Enrollment ID: I20210819003056 |
| Provider Name | Rebecca Nerenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932788098 PECOS PAC ID: 6103221676 Enrollment ID: I20210820002352 |
| Provider Name | Simone T Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689808958 PECOS PAC ID: 9133527054 Enrollment ID: I20211007000913 |
| Provider Name | Nicole M Marona |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093482812 PECOS PAC ID: 1355739475 Enrollment ID: I20211022000462 |
| Provider Name | Elizabeth W Lipscomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184380115 PECOS PAC ID: 4486045333 Enrollment ID: I20220103001691 |
| Provider Name | Ophelia F Jackson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1841396108 PECOS PAC ID: 9032404926 Enrollment ID: I20220103001797 |
| Provider Name | Brittany K Solar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851667612 PECOS PAC ID: 1254725872 Enrollment ID: I20220224002792 |
| Provider Name | Raphael L Hamilton |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1376857649 PECOS PAC ID: 8022316819 Enrollment ID: I20220314000307 |
| Provider Name | Shing S Wen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689343360 PECOS PAC ID: 3375930597 Enrollment ID: I20220418001645 |
| Provider Name | Zesha C Holyfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609362292 PECOS PAC ID: 4981091766 Enrollment ID: I20220426000514 |
| Provider Name | Abigail L Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417618190 PECOS PAC ID: 8820484736 Enrollment ID: I20220712001974 |
| Provider Name | Chi Doan Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689104879 PECOS PAC ID: 2860735685 Enrollment ID: I20221109000885 |
| Provider Name | Cheong E Lee |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1760757512 PECOS PAC ID: 0244538825 Enrollment ID: I20221109001372 |
| Provider Name | Vanessa Enegilda Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629427125 PECOS PAC ID: 0749610475 Enrollment ID: I20221109001635 |
| Provider Name | Jisu Han |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306322276 PECOS PAC ID: 4981072212 Enrollment ID: I20221117002463 |
| Provider Name | Pallavi Khanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194287508 PECOS PAC ID: 1557739364 Enrollment ID: I20221129003076 |
| Provider Name | Eva J Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528721586 PECOS PAC ID: 6204229651 Enrollment ID: I20230306000666 |
| Provider Name | Sunjoo Paik |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477182103 PECOS PAC ID: 9638544745 Enrollment ID: I20230403001634 |
| Provider Name | Jenna Nessa |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1184194367 PECOS PAC ID: 0547635120 Enrollment ID: I20230413000212 |
| Provider Name | Eileen B Fahey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679123715 PECOS PAC ID: 9931569969 Enrollment ID: I20230721001354 |
| Provider Name | Cynthia Salvant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568807279 PECOS PAC ID: 8123381456 Enrollment ID: I20230725001678 |
| Provider Name | Kuan Chang Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891315719 PECOS PAC ID: 2567805492 Enrollment ID: I20240208000397 |
| Provider Name | Osarieme Evbuomwan-esene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972122372 PECOS PAC ID: 3678917184 Enrollment ID: I20240222003032 |
| Provider Name | Rebecca E Weiss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609324516 PECOS PAC ID: 2769829688 Enrollment ID: I20240327000497 |
| Provider Name | John N Galian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952414880 PECOS PAC ID: 1456696327 Enrollment ID: I20240327002167 |
| Provider Name | Mary C Obeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083494504 PECOS PAC ID: 8426495391 Enrollment ID: I20240327002420 |
| Provider Name | Lindsay A Trapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710306865 PECOS PAC ID: 6103263082 Enrollment ID: I20240327002698 |
| Provider Name | Verena B Ebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881477560 PECOS PAC ID: 5395182182 Enrollment ID: I20240328002940 |
| Provider Name | Devonie Galbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902152028 PECOS PAC ID: 1951749381 Enrollment ID: I20240404002247 |
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 |