| Mrs Melissa M Foye-petrillo, DO | |
| 624 Mcclellan Street, Suite G05, Schenectady, NY 12304-1020 | |
| (518) 347-5113 | |
| (518) 347-5007 | 
| Full Name | Mrs Melissa M Foye-petrillo | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 624 Mcclellan Street, Schenectady, 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 | 
|---|---|---|---|
| 1679509947 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 239929-1 (New York) | Secondary | 
| 208000000X | Pediatrics | 239929 (New York) | Primary | 
| Entity Name | Ellis Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1487644993 PECOS PAC ID: 5890607410 Enrollment ID: O20031103000406 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Melissa M Foye-petrillo, DO 624 Mcclellan Street, Suite G05, Schenectady, NY 12304-1020 Ph: (518) 347-5113 | Mrs Melissa M Foye-petrillo, DO 624 Mcclellan Street, Suite G05, Schenectady, NY 12304-1020 Ph: (518) 347-5113 | 
| Hadi Koohsari, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 Union St, Schenectady, NY 12305 Phone: 518-374-1610 Fax: 518-374-3512 | |
| Dr. Michael Paul Sonnekalb, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3732 Carman Rd, Schenectady, NY 12303 Phone: 518-356-4132 Fax: 518-355-3996 | |
| Stephanie B. Evans, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1044 State St, Schenectady, NY 12307 Phone: 518-370-1441 Fax: 518-395-9431 | |
| Dr. James David Saperstone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3732 Carman Rd, Schenectady, NY 12303 Phone: 518-356-4132 Fax: 518-355-3996 | |
| Dr. Margaret M Woods, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Mcclellan St, Schenectady, NY 12304 Phone: 518-372-5637 Fax: 518-372-1384 | |
| Dr. Richard Yan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Mcclellan St, Schenectady, NY 12304 Phone: 518-372-5637 Fax: 518-355-3996 | |
| Kathleen Shanley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3732 Carman Rd, Schenectady, NY 12303 Phone: 518-356-4132 |