Micaela Nordhauser, MD | |
7b Johnson Rd, Latham, NY 12110-3003 | |
(518) 782-7733 | |
Not Available |
Full Name | Micaela Nordhauser |
---|---|
Gender | Female |
Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
Location | 7b Johnson Rd, Latham, 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 |
---|---|---|---|
1730138330 | NPI | - | NPPES |
10001482 | Other | CDPHP | |
00179338 | Medicaid | NY | |
18CAB1 | Other | NY | EMPIRE BLUECROSS BLUESHIELD |
26028 | Other | MVP | |
7048276 | Other | NY | AETNA |
01699889 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 179338 (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 |
---|---|
Micaela Nordhauser, MD 711 Troy Schenectady Rd Ste 203, Latham, NY 12110-2461 Ph: (518) 782-3700 | Micaela Nordhauser, MD 7b Johnson Rd, Latham, NY 12110-3003 Ph: (518) 782-7733 |
Dr. Anthony F Malone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Wellness Way Ste 101, Latham, NY 12110 Phone: 518-782-7733 Fax: 518-782-0800 | |
Thomas Duff, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Crhp-711 Troy-schenectady Rd, Suite 101, Latham, NY 12110 Phone: 518-783-3110 | |
Sheela S Graney, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Century Hill Dr, Latham, NY 12110 Phone: 518-783-5563 Fax: 518-785-5708 | |
Dr. Diane A Bourke, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7b Johnson Rd, Latham, NY 12110 Phone: 518-782-7733 Fax: 518-782-0800 | |
Maryla Warszawa-ambros, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Century Hill Dr, Latham, NY 12110 Phone: 518-783-5563 Fax: 518-785-5708 | |
Dr. Lubbna V Alimohammad, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 711 Troy Schenectady Rd, Suite 101, Latham, NY 12110 Phone: 518-783-3110 Fax: 518-783-7506 | |
William J Feeney, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 596 New Loudon Rd, Latham, NY 12110 Phone: 518-782-7133 Fax: 518-782-7155 |