| Jad Z Bou-abdallah, MD | |
|
1000 E Genesee St, Ste 205 & 206, Syracuse, NY 13210-1892 | |
| (315) 464-1600 | |
| (315) 464-1601 |
| Full Name | Jad Z Bou-abdallah |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1000 E Genesee St, Syracuse, 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 |
|---|---|---|---|
| 1619133436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 267107 (New York) | Primary |
| Entity Name | Academic Medicine Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255394763 PECOS PAC ID: 0941105241 Enrollment ID: O20040429000839 |
| Entity Name | Erie County Medical Center Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528233616 PECOS PAC ID: 1456308907 Enrollment ID: O20050715000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Jad Z Bou-abdallah, MD 1000 E Genesee St, Ste 205 & 206, Syracuse, NY 13210-1892 Ph: (315) 464-1600 | Jad Z Bou-abdallah, MD 1000 E Genesee St, Ste 205 & 206, Syracuse, NY 13210-1892 Ph: (315) 464-1600 |
Courtney Myers, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St Ste 311, Syracuse, NY 13210 Phone: 315-464-5815 | |
Joan Marie Mitchell, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4828 Fax: 315-425-4827 | |
Saverio J. Barbera, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plaza, Ste 5010, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338 | |
Gordana Obradovic, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1304 Buckley Rd, Suite 200, Syracuse, NY 13212 Phone: 315-478-3311 Fax: 315-476-5211 | |
Kristin A Ramella, NP Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plz Ste 5010, Syracuse, NY 13202 Phone: 315-464-9335 | |
Vinodhini M Subramanian, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111 | |
Robert R. Michiel, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338 |