| Syed Armoghan Wali, MD | |
|
15 Raymond St, Potsdam, NY 13676-1163 | |
| (315) 265-9271 | |
| Not Available |
| Full Name | Syed Armoghan Wali |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 15 Raymond St, Potsdam, 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 |
|---|---|---|---|
| 1346472826 | NPI | - | NPPES |
| 511-30395 (SBC) | Other | AL | BLUE CROSS |
| 183210 | Medicaid | AL | |
| 141862 (SBC) | Medicaid | AL | |
| 142072 (STEWART) | Medicaid | AL | |
| 511-30389 (COMPLEX) | Other | AL | BLUE CROSS |
| 511-73964 | Other | AL | BCBS OF ALABAMA |
| 141861 (COMPLEX) | Medicaid | AL | |
| 511-30392(STEWART) | Other | AL | BLUE CROSS |
| Entity Name | Canton-potsdam Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
| Mailing Address | Practice Location Address |
|---|---|
| Syed Armoghan Wali, MD 50 Leroy St, Potsdam, NY 13676-1799 Ph: (315) 265-3300 | Syed Armoghan Wali, MD 15 Raymond St, Potsdam, NY 13676-1163 Ph: (315) 265-9271 |
Dr. John C Devine, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15 Raymond St, Potsdam, NY 13676 Phone: 315-265-9271 | |
Dr. Heather Genevieve Jones, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15 Raymond St, Potsdam, NY 13676 Phone: 315-265-9271 | |
Cynthia Mondesir, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15 Raymond St, Potsdam, NY 13676 Phone: 315-265-9271 Fax: 315-265-4206 | |
Mrs. Marta Agnes Szoke, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25 Cottage St, Potsdam, NY 13676 Phone: 315-265-0907 Fax: 315-268-1017 |