Emanuel Cirenza, | |
6 Mountain Ledge, Gansevoort, NY 12831-2539 | |
(518) 584-0355 | |
(518) 583-7665 |
Full Name | Emanuel Cirenza |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 6 Mountain Ledge, Gansevoort, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043300684 | NPI | - | NPPES |
01752336 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 206716 (New York) | Primary |
Entity Name | Community Care Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922048370 PECOS PAC ID: 8022904473 Enrollment ID: O20080130000272 |
Mailing Address | Practice Location Address |
---|---|
Emanuel Cirenza, 711 Troy Schenectady Rd, Suite 203, Latham, NY 12110-2442 Ph: (518) 782-3700 | Emanuel Cirenza, 6 Mountain Ledge, Gansevoort, NY 12831-2539 Ph: (518) 584-0355 |
Laura Lecours, Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Mountain Ledge, Gansevoort, NY 12831 Phone: 518-584-0355 Fax: 518-583-7665 | |
Stephanie E Jorgensen, MD FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Mountain Ledge, Gansevoort, NY 12831 Phone: 518-584-0355 Fax: 518-583-7665 | |
Anne Marthy-noonan, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6 Mountain Ledge, Gansevoort, NY 12831 Phone: 518-584-0355 Fax: 518-583-7665 | |
Charles Richman, Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Mountain Ledge, Gansevoort, NY 12831 Phone: 518-584-0355 Fax: 518-583-7665 | |
Amine F Gebremichael, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1299 Route 9, Gansevoort, NY 12831 Phone: 518-761-6961 Fax: 518-761-1006 | |
Dr. Claudia Farrell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Mountain Ledge, Gansevoort, NY 12831 Phone: 518-584-0355 Fax: 518-583-7665 |