| Glens Falls Hospital Inc. | |
|
100 Park St Glens Falls NY 12801 | |
| (518) 926-6999 | |
| (518) 926-6984 |
| Full Name | Glens Falls Hospital Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Park St, Glens Falls, New York |
| Authorized Official Name and Position | Paul Scimeca (INTERIM PRESIDENT/CEO) |
| Authorized Official Contact | 5189265902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glens Falls Hospital Inc. 100 Park St Glens Falls Hospital - Credentialing Glens Falls NY 12801-4413 Ph: (518) 926-5924 | Glens Falls Hospital Inc. 100 Park St Glens Falls NY 12801 Ph: (518) 926-6999 |
| NPI Number | 1336198217 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/16/2022 |
| Medicare PECOS PAC ID | 8325955974 |
|---|---|
| Medicare Enrollment ID | O20031103000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336198217 | NPI | - | NPPES |
| 02995251 | Medicaid | NY | |
| CA7517 | Other | NY | RAILROAD MEDICARE |
| Provider Name | Farhana Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750379848 PECOS PAC ID: 8628973617 Enrollment ID: I20031203000428 |
| Provider Name | Jonathan Braiman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568440931 PECOS PAC ID: 3678560885 Enrollment ID: I20040429000257 |
| Provider Name | James M North |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568476158 PECOS PAC ID: 4183605850 Enrollment ID: I20040527001057 |
| Provider Name | Joseph A D Agostino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558458109 PECOS PAC ID: 1052383262 Enrollment ID: I20040809001015 |
| Provider Name | Aqeel A Gillani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639167737 PECOS PAC ID: 9830161686 Enrollment ID: I20040811000818 |
| Provider Name | Nawed A Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164410064 PECOS PAC ID: 3375515950 Enrollment ID: I20040812001061 |
| Provider Name | Robert Gerstenbluth |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326078387 PECOS PAC ID: 5698748010 Enrollment ID: I20040814000156 |
| Provider Name | Noelle M Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699789164 PECOS PAC ID: 6800887027 Enrollment ID: I20040816000921 |
| Provider Name | Gregory A Kelly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982606984 PECOS PAC ID: 6901872548 Enrollment ID: I20040907000159 |
| Provider Name | Matthew T Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528155199 PECOS PAC ID: 1951379759 Enrollment ID: I20040920000961 |
| Provider Name | Glenn Pizarro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770689986 PECOS PAC ID: 7214905645 Enrollment ID: I20040922001097 |
| Provider Name | Thomas F Kandora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144214503 PECOS PAC ID: 2961463377 Enrollment ID: I20041020000032 |
| Provider Name | Sean R Bain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316936073 PECOS PAC ID: 7810884194 Enrollment ID: I20041025000485 |
| Provider Name | Ephraim E Back |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649295254 PECOS PAC ID: 0547228009 Enrollment ID: I20041230000026 |
| Provider Name | Max C Rudansky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649358938 PECOS PAC ID: 3577521996 Enrollment ID: I20041230000526 |
| Provider Name | Jamie Lyn Masson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962404871 PECOS PAC ID: 8729055801 Enrollment ID: I20050328000922 |
| Provider Name | Iqbal Bashir |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699793539 PECOS PAC ID: 7810930609 Enrollment ID: I20050603000664 |
| Provider Name | John P Stoutenburg |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306834411 PECOS PAC ID: 1052354057 Enrollment ID: I20050609000625 |
| Provider Name | Jeffrey A Greenhouse |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790770048 PECOS PAC ID: 2567418197 Enrollment ID: I20050711000649 |
| Provider Name | Geoffrey L Serfilippi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942295290 PECOS PAC ID: 3375599905 Enrollment ID: I20050810000800 |
| Provider Name | Sonya M Sidhu-izzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861437956 PECOS PAC ID: 8022047935 Enrollment ID: I20050811000198 |
| Provider Name | Jennifer L Stratton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487668968 PECOS PAC ID: 3274564323 Enrollment ID: I20050829000241 |
| Provider Name | Vincent T Cooper |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336299551 PECOS PAC ID: 4880627413 Enrollment ID: I20050914001021 |
| Provider Name | Cheryl Syta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982691481 PECOS PAC ID: 5597790881 Enrollment ID: I20051005000981 |
| Provider Name | Carlos A Ares |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306870613 PECOS PAC ID: 0143240424 Enrollment ID: I20051201000319 |
| Provider Name | Paul G Scalia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932296506 PECOS PAC ID: 8729008685 Enrollment ID: I20051207000086 |
| Provider Name | Louis P Decunzo |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124000864 PECOS PAC ID: 3375510191 Enrollment ID: I20051220000443 |
| Provider Name | Paul F Bachman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366456071 PECOS PAC ID: 4284648569 Enrollment ID: I20060126000423 |
| Provider Name | Richard A Hughes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427044262 PECOS PAC ID: 0345255014 Enrollment ID: I20060216000328 |
| Provider Name | Barney Rubenstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356339469 PECOS PAC ID: 0648287698 Enrollment ID: I20060315000607 |
| Provider Name | Gordon M Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083665582 PECOS PAC ID: 0941211940 Enrollment ID: I20060505000691 |
| Provider Name | Henry T Tan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1194744318 PECOS PAC ID: 8527066687 Enrollment ID: I20061128000208 |
| Provider Name | April Beasley Irving |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891740676 PECOS PAC ID: 3476555038 Enrollment ID: I20070209000604 |
| Provider Name | Robert F Love |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750325320 PECOS PAC ID: 3173521507 Enrollment ID: I20070213000499 |
| Provider Name | Margaret L Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538259288 PECOS PAC ID: 3971609066 Enrollment ID: I20070507000409 |
| Provider Name | Scott A Biasetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124092994 PECOS PAC ID: 3072619808 Enrollment ID: I20070510000430 |
| Provider Name | Andre H Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861616922 PECOS PAC ID: 4880787316 Enrollment ID: I20070829000625 |
| Provider Name | Sean M Kennedy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417001025 PECOS PAC ID: 8921191776 Enrollment ID: I20070910000691 |
| Provider Name | Matthew Dickson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528021706 PECOS PAC ID: 9133123268 Enrollment ID: I20070927000058 |
| Provider Name | Mathew Varughese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023234002 PECOS PAC ID: 5991890816 Enrollment ID: I20071005000679 |
| Provider Name | Suzanne Dickson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144416074 PECOS PAC ID: 6709976558 Enrollment ID: I20071217000299 |
| Provider Name | Shehzad Ali |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578667218 PECOS PAC ID: 8325128895 Enrollment ID: I20080109000693 |
| Provider Name | Rustom A Rastinehad |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740253152 PECOS PAC ID: 6406932268 Enrollment ID: I20080320000017 |
| Provider Name | Frank H Westad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033204698 PECOS PAC ID: 5890865208 Enrollment ID: I20080528000202 |
| Provider Name | Marvin Davidowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518956838 PECOS PAC ID: 6406921451 Enrollment ID: I20080826000622 |
| Provider Name | David Tucker Slingerland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215157235 PECOS PAC ID: 3274693205 Enrollment ID: I20081121000005 |
| Provider Name | Darci A Gaiotti-grubbs |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437183183 PECOS PAC ID: 6406907435 Enrollment ID: I20090702000006 |
| Provider Name | Peter J Peff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992781207 PECOS PAC ID: 4688725575 Enrollment ID: I20090707000123 |
| Provider Name | William Papura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417958810 PECOS PAC ID: 5193720399 Enrollment ID: I20090810000477 |
| Provider Name | Atilla Kayalar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518958610 PECOS PAC ID: 1850398892 Enrollment ID: I20090821000413 |
| Provider Name | Karin S Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851347009 PECOS PAC ID: 7214083310 Enrollment ID: I20090915000196 |
| Provider Name | Kristoffer P Neu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578755054 PECOS PAC ID: 0840337234 Enrollment ID: I20091016000013 |
| Provider Name | John Mongan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134235765 PECOS PAC ID: 9234276130 Enrollment ID: I20091027000006 |
| Provider Name | John Delmonte |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043427586 PECOS PAC ID: 5597823138 Enrollment ID: I20091207000494 |
| Provider Name | Edward Liebers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174528764 PECOS PAC ID: 4880736990 Enrollment ID: I20100127000355 |
| Provider Name | Gamal G Khalifa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922096023 PECOS PAC ID: 2264576271 Enrollment ID: I20100215000248 |
| Provider Name | Philip J Gara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740278837 PECOS PAC ID: 5092859850 Enrollment ID: I20100217000116 |
| Provider Name | Matthew C Pender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245229905 PECOS PAC ID: 4284778051 Enrollment ID: I20100217000215 |
| Provider Name | Ruth E Fish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942291380 PECOS PAC ID: 3375687916 Enrollment ID: I20100219000287 |
| Provider Name | Kerin M Devlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306837745 PECOS PAC ID: 5991849549 Enrollment ID: I20100219000319 |
| Provider Name | Suzanne M Blood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831103555 PECOS PAC ID: 7113052937 Enrollment ID: I20100318000745 |
| Provider Name | John A Sawyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689688541 PECOS PAC ID: 2264567932 Enrollment ID: I20100319000356 |
| Provider Name | Frances C Bollinger |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1801800529 PECOS PAC ID: 7517092125 Enrollment ID: I20100322000640 |
| Provider Name | Elias A Socolof |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851305676 PECOS PAC ID: 6507991015 Enrollment ID: I20100322000741 |
| Provider Name | Michael T Lieberth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477673713 PECOS PAC ID: 1355477555 Enrollment ID: I20100326000643 |
| Provider Name | Irene Flatau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699783472 PECOS PAC ID: 9537296074 Enrollment ID: I20100415000030 |
| Provider Name | Steven V Scalia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932296597 PECOS PAC ID: 3678563194 Enrollment ID: I20100423000270 |
| Provider Name | Michael A Layden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194728774 PECOS PAC ID: 7810080371 Enrollment ID: I20100708000173 |
| Provider Name | David A Judkins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164425708 PECOS PAC ID: 3173654100 Enrollment ID: I20100708000208 |
| Provider Name | Scott M Munro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912900622 PECOS PAC ID: 1557493103 Enrollment ID: I20100716000327 |
| Provider Name | John J Layden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538162235 PECOS PAC ID: 5991779720 Enrollment ID: I20100716000421 |
| Provider Name | Gerard A Florio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902894009 PECOS PAC ID: 7012040827 Enrollment ID: I20100730000476 |
| Provider Name | David J Cunningham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659353027 PECOS PAC ID: 9537167960 Enrollment ID: I20100907000564 |
| Provider Name | Paul R Filion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750363446 PECOS PAC ID: 2264430693 Enrollment ID: I20100913000420 |
| Provider Name | Robert P Reeves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811979438 PECOS PAC ID: 3072511401 Enrollment ID: I20100913000693 |
| Provider Name | Harry H Slatch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194875310 PECOS PAC ID: 5991734212 Enrollment ID: I20100921001184 |
| Provider Name | Robert G Hogan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760485460 PECOS PAC ID: 9032301395 Enrollment ID: I20101006000096 |
| Provider Name | Patrick Rowley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477556181 PECOS PAC ID: 4789682253 Enrollment ID: I20101006000223 |
| Provider Name | Bryan Smead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265446066 PECOS PAC ID: 8426241506 Enrollment ID: I20101021000437 |
| Provider Name | William M Borgos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932113669 PECOS PAC ID: 6406049410 Enrollment ID: I20101022000725 |
| Provider Name | Jordan C.a Blackwood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285950675 PECOS PAC ID: 7416141908 Enrollment ID: I20101028000852 |
| Provider Name | Michael E. Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518071463 PECOS PAC ID: 5092909226 Enrollment ID: I20101102000729 |
| Provider Name | Howard E Silverberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134113590 PECOS PAC ID: 2769534593 Enrollment ID: I20101123000015 |
| Provider Name | Mary Ann Mckee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669547303 PECOS PAC ID: 6103976543 Enrollment ID: I20110111000536 |
| Provider Name | Mark Hoffman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932184405 PECOS PAC ID: 1456306943 Enrollment ID: I20110118000721 |
| Provider Name | Stephen A Monn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215089131 PECOS PAC ID: 1355470618 Enrollment ID: I20110217000025 |
| Provider Name | Michael Dinkels |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043457674 PECOS PAC ID: 1557544756 Enrollment ID: I20110325000282 |
| Provider Name | Anna I Bass |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891780540 PECOS PAC ID: 3274509591 Enrollment ID: I20110804000588 |
| Provider Name | Courtney J Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215223441 PECOS PAC ID: 3577737527 Enrollment ID: I20111201000141 |
| Provider Name | Ashley L Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417241266 PECOS PAC ID: 1254507015 Enrollment ID: I20111228000135 |
| Provider Name | Susan A Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093088247 PECOS PAC ID: 1254592413 Enrollment ID: I20120416000037 |
| Provider Name | Michael W Fuller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851530398 PECOS PAC ID: 4981869542 Enrollment ID: I20120705000004 |
| Provider Name | Christopher R Mason |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992947865 PECOS PAC ID: 9032365804 Enrollment ID: I20120809000767 |
| Provider Name | Xiao Su |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659505774 PECOS PAC ID: 8628228087 Enrollment ID: I20121019000147 |
| Provider Name | Suzanne E Bergin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346478658 PECOS PAC ID: 3375796832 Enrollment ID: I20130111000133 |
| Provider Name | Heather Baribault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093891368 PECOS PAC ID: 5496909087 Enrollment ID: I20130207000066 |
| Provider Name | Shahid Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609074897 PECOS PAC ID: 1850469198 Enrollment ID: I20130404000261 |
| Provider Name | Michael G Miles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649412982 PECOS PAC ID: 1456507623 Enrollment ID: I20130502000190 |
| Provider Name | Marguerite M Dusha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417297177 PECOS PAC ID: 6800034521 Enrollment ID: I20130607000173 |
| Provider Name | Sadat Ozair |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285796508 PECOS PAC ID: 7911932553 Enrollment ID: I20130808000530 |
| Provider Name | Amit Chopra |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013298629 PECOS PAC ID: 5991948333 Enrollment ID: I20130904000025 |
| Provider Name | Jennifer L Donovan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710202544 PECOS PAC ID: 3678703584 Enrollment ID: I20140220000257 |
| Provider Name | Richard Thomas Jackson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932427218 PECOS PAC ID: 4880810282 Enrollment ID: I20140721001387 |
| Provider Name | Puja Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548518350 PECOS PAC ID: 6901059583 Enrollment ID: I20140814000456 |
| Provider Name | Brandii A Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861800351 PECOS PAC ID: 6608095831 Enrollment ID: I20140919001056 |
| Provider Name | Kyle S Leonard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871886978 PECOS PAC ID: 1456571579 Enrollment ID: I20141013000291 |
| Provider Name | Erin Morine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023375938 PECOS PAC ID: 1850513771 Enrollment ID: I20141110000947 |
| Provider Name | Catherine Delsignore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639496417 PECOS PAC ID: 5193043511 Enrollment ID: I20150415002227 |
| Provider Name | William P Cleaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164675765 PECOS PAC ID: 5799838652 Enrollment ID: I20150511002091 |
| Provider Name | Charles Yun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710121330 PECOS PAC ID: 8820300569 Enrollment ID: I20150708002656 |
| Provider Name | Kevin Grassi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831457209 PECOS PAC ID: 0446564298 Enrollment ID: I20150806011835 |
| Provider Name | Kristen Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013272939 PECOS PAC ID: 7517271380 Enrollment ID: I20150806012767 |
| Provider Name | Boris Shkolnik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356608905 PECOS PAC ID: 9234445487 Enrollment ID: I20150902001197 |
| Provider Name | Michelle L Eastman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518047273 PECOS PAC ID: 2860615960 Enrollment ID: I20150908002270 |
| Provider Name | Sean P Campanie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073999454 PECOS PAC ID: 4880902873 Enrollment ID: I20150924000587 |
| Provider Name | John Oliver Mclain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295050193 PECOS PAC ID: 0547498511 Enrollment ID: I20160223000747 |
| Provider Name | Marena Euashachai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841584489 PECOS PAC ID: 1355573890 Enrollment ID: I20160502001243 |
| Provider Name | Mark A Quaresima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467896480 PECOS PAC ID: 3476845108 Enrollment ID: I20160715001512 |
| Provider Name | Lauren Hendershot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700236379 PECOS PAC ID: 6507150372 Enrollment ID: I20160802003056 |
| Provider Name | Asim R Chaudry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679913164 PECOS PAC ID: 1456646694 Enrollment ID: I20160826000322 |
| Provider Name | John T. Quaresima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750720371 PECOS PAC ID: 8022247071 Enrollment ID: I20160914000545 |
| Provider Name | Laurie A Dennison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942653852 PECOS PAC ID: 9739476805 Enrollment ID: I20160919000834 |
| Provider Name | Rebecca Freligh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497107478 PECOS PAC ID: 0042508152 Enrollment ID: I20161005001325 |
| Provider Name | Jeremy Walter Goldfarb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619003084 PECOS PAC ID: 8527029925 Enrollment ID: I20161011002603 |
| Provider Name | Vincent S Capanelli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588989263 PECOS PAC ID: 4688952062 Enrollment ID: I20161107000846 |
| Provider Name | Eunyoung Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912455890 PECOS PAC ID: 6608157623 Enrollment ID: I20170106000705 |
| Provider Name | Rehman Chowdhry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639339435 PECOS PAC ID: 3173749538 Enrollment ID: I20170313001474 |
| Provider Name | Nagendra Yadav Madisi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285929901 PECOS PAC ID: 7214165596 Enrollment ID: I20170407001633 |
| Provider Name | Kristina M Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679836605 PECOS PAC ID: 3476830308 Enrollment ID: I20170503000034 |
| Provider Name | Angela M Duque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235579913 PECOS PAC ID: 4183992498 Enrollment ID: I20170609000432 |
| Provider Name | Amine F Gebremichael |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629394622 PECOS PAC ID: 8921321001 Enrollment ID: I20170717002286 |
| Provider Name | Heather J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134649486 PECOS PAC ID: 1355613175 Enrollment ID: I20170814002815 |
| Provider Name | Adam S Howe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083939284 PECOS PAC ID: 9537311881 Enrollment ID: I20170817000193 |
| Provider Name | Rohit T. Repala |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457617169 PECOS PAC ID: 3274830203 Enrollment ID: I20170831002447 |
| Provider Name | Kari L Sudfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386166890 PECOS PAC ID: 0446523989 Enrollment ID: I20170906001372 |
| Provider Name | Marcille T Labban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073863403 PECOS PAC ID: 1254615917 Enrollment ID: I20171006000509 |
| Provider Name | Gillian F Wolff |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578883559 PECOS PAC ID: 9335459791 Enrollment ID: I20171016003057 |
| Provider Name | Jamie D Bovair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811415789 PECOS PAC ID: 4082980131 Enrollment ID: I20171018000857 |
| Provider Name | Robert Aksel Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285047746 PECOS PAC ID: 3375800782 Enrollment ID: I20171120001195 |
| Provider Name | Alexandra Aarons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417342361 PECOS PAC ID: 9931456845 Enrollment ID: I20180724002400 |
| Provider Name | Jeremy Andrew Di Bari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700267697 PECOS PAC ID: 2163772922 Enrollment ID: I20180829002342 |
| Provider Name | Anne Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609263748 PECOS PAC ID: 4284948340 Enrollment ID: I20180926003185 |
| Provider Name | Muhammad Irfan Munawar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770787491 PECOS PAC ID: 8729128491 Enrollment ID: I20200220002051 |
| Provider Name | Peggy M Liberty-olcott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568839157 PECOS PAC ID: 2769811652 Enrollment ID: I20200327001368 |
| Provider Name | Jared R King |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740642941 PECOS PAC ID: 7315282118 Enrollment ID: I20200430001586 |
| Provider Name | Tiffany Tryniszewski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467831255 PECOS PAC ID: 4688910078 Enrollment ID: I20200505002792 |
| Provider Name | Sandita Seecharan Reddammagari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154779163 PECOS PAC ID: 1052735099 Enrollment ID: I20200722003822 |
| Provider Name | Jaime Lynne Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205449600 PECOS PAC ID: 4688094345 Enrollment ID: I20201019001054 |
| Provider Name | Jeff Jaebum Kim |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1669810479 PECOS PAC ID: 3173826302 Enrollment ID: I20201020000702 |
| Provider Name | Megan King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043821424 PECOS PAC ID: 5294140935 Enrollment ID: I20210210002924 |
| Provider Name | Christopher D Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841610284 PECOS PAC ID: 7810219037 Enrollment ID: I20210409000051 |
| Provider Name | Karen Hirsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083294136 PECOS PAC ID: 1951700475 Enrollment ID: I20210602002890 |
| Provider Name | Salam Hawa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851886451 PECOS PAC ID: 4486057981 Enrollment ID: I20210721002384 |
| Provider Name | Sarah Hyland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467126763 PECOS PAC ID: 3173928884 Enrollment ID: I20210818002737 |
| Provider Name | Svetlana Avulova |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154740777 PECOS PAC ID: 2860797818 Enrollment ID: I20210826002944 |
| Provider Name | Brian Inouye |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467871178 PECOS PAC ID: 6204251424 Enrollment ID: I20210907001170 |
| Provider Name | Azia Jodeci Sayers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316602402 PECOS PAC ID: 9335538073 Enrollment ID: I20211117003101 |
| Provider Name | Penny Sue Warrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649562828 PECOS PAC ID: 7012301302 Enrollment ID: I20220302002455 |
| Provider Name | Brittany K King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588315147 PECOS PAC ID: 5092100974 Enrollment ID: I20220310001971 |
| Provider Name | Audrey Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831842160 PECOS PAC ID: 1254727670 Enrollment ID: I20220411001613 |
| Provider Name | Bo Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841751989 PECOS PAC ID: 3274912407 Enrollment ID: I20220620000042 |
| Provider Name | Abigail M Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003551128 PECOS PAC ID: 5193108702 Enrollment ID: I20220815002374 |
| Provider Name | Melody Wicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609237403 PECOS PAC ID: 2163805243 Enrollment ID: I20220823001789 |
| Provider Name | Abigail S Narkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427795491 PECOS PAC ID: 5991189615 Enrollment ID: I20220830002428 |
| Provider Name | Karen L Going |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588962369 PECOS PAC ID: 7719131945 Enrollment ID: I20220921003954 |
| Provider Name | Timothy G Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720071095 PECOS PAC ID: 3072592856 Enrollment ID: I20230103000840 |
| Provider Name | Stephannie Anne Siwik-simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578272597 PECOS PAC ID: 2062883093 Enrollment ID: I20230130001032 |
| Provider Name | Jilllian Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497452718 PECOS PAC ID: 5294108700 Enrollment ID: I20230303001398 |
| Provider Name | Alaina M Qayyum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659868453 PECOS PAC ID: 8628313483 Enrollment ID: I20230329002584 |
| Provider Name | Katy Underwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386261865 PECOS PAC ID: 0547628125 Enrollment ID: I20230614003424 |
| Provider Name | Nathan Chertack |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568968600 PECOS PAC ID: 5092174979 Enrollment ID: I20230711000351 |
| Provider Name | Stephanie M Mclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548954878 PECOS PAC ID: 4789046087 Enrollment ID: I20230818000604 |
| Provider Name | Julia Victoria Bottoni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770112377 PECOS PAC ID: 6901221175 Enrollment ID: I20230912000084 |
| Provider Name | Tawseef A Dar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437568821 PECOS PAC ID: 8527380617 Enrollment ID: I20240205003627 |
| Provider Name | Molly Schoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194576272 PECOS PAC ID: 1759722051 Enrollment ID: I20240517001775 |
| Provider Name | Mathieu Polegato Barras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568085850 PECOS PAC ID: 2769824317 Enrollment ID: I20240528002478 |
| Provider Name | Benjamin P Parkhurst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588963086 PECOS PAC ID: 8527285220 Enrollment ID: I20240531003432 |
| Provider Name | Morgan Patricia Wasiczko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235998543 PECOS PAC ID: 8123565744 Enrollment ID: I20240731004411 |
| Provider Name | Carissa M Lackey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629642624 PECOS PAC ID: 8426599010 Enrollment ID: I20240923003723 |
| Provider Name | Jillian Egan Kelly |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912430356 PECOS PAC ID: 7315326618 Enrollment ID: I20240926002286 |
| Provider Name | Anu Stephen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104446822 PECOS PAC ID: 2567872658 Enrollment ID: I20241107001178 |
| Provider Name | Brandon Towey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174107080 PECOS PAC ID: 0648706986 Enrollment ID: I20241210001016 |
| Provider Name | Michael Pignanelli |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881479186 PECOS PAC ID: 4688029481 Enrollment ID: I20241216000267 |
| Provider Name | Ryan Haley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083053383 PECOS PAC ID: 4183847858 Enrollment ID: I20250225000966 |
Turning Leaf Mental Health Counseling Services Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3 Warren St, Glens Falls, NY 12801 Phone: 518-338-3117 Fax: 518-831-5944 | |
Center For Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Park St, Glens Falls, NY 12801 Phone: 518-926-7200 | |
Osika And Scarano Psychological Services Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5 Pine St, Glens Falls, NY 12801 Phone: 518-745-0079 | |
Glens Falls Hospital Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Park St, Glens Falls, NY 12801 Phone: 518-926-2940 Fax: 518-926-2941 | |
Liberty House Foundation, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 Bay Street, Glens Falls, NY 12801 Phone: 518-798-1066 Fax: 518-798-1166 | |
Hudson Headwaters Health Network Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 38 Larose Street, Glens Falls, NY 12801 Phone: 518-824-8181 Fax: 833-819-0268 | |
Central Adirondack Counseling Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 333 Glen St Ste 100, Glens Falls, NY 12801 Phone: 518-307-9292 Fax: 518-615-5801 |