| Mr Salem El Mizzawi, | |
|
45 Reade Pl, Poughkeepsie, NY 12601-3947 | |
| (845) 454-8500 | |
| Not Available |
| Full Name | Mr Salem El Mizzawi |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 45 Reade Pl, Poughkeepsie, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871077610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 022976 (New York) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Victory Medical Associates Pc | 9931435450 | 7 |
| Entity Name | Emergency Physician Services of New York, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20040901000528 |
| Entity Name | BP Immediate Medical Care, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205105004 PECOS PAC ID: 8628295581 Enrollment ID: O20140818000117 |
| Entity Name | North Shore Lij Urgent Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679970891 PECOS PAC ID: 6002131778 Enrollment ID: O20150223000060 |
| Entity Name | Victory Medical Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902460124 PECOS PAC ID: 9931435450 Enrollment ID: O20190722002169 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Salem El Mizzawi, 1345 Rxr Plz Fl 13, Uniondale, NY 11556-1301 Ph: (516) 453-0435 | Mr Salem El Mizzawi, 45 Reade Pl, Poughkeepsie, NY 12601-3947 Ph: (845) 454-8500 |
Adam Fields, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3399 North Rd, Poughkeepsie, NY 12601 Phone: 845-575-3308 |
Dianne Guarnera Thomson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 45 Reade Pl, Vassar Brothers Medical Center, Poughkeepsie, NY 12601 Phone: 845-454-8500 Fax: 845-483-6108 |
Mrs. Maria T Bromley, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 45 Reade Pl, Department Of Neonatology, Poughkeepsie, NY 12601 Phone: 845-431-5677 |
Julia Robinson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-454-8500 |
Sarah Perkes, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3399 North Rd, Poughkeepsie, NY 12601 Phone: 845-575-3000 |
Robert B Daniel, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1910 South Rd, Poughkeepsie, NY 12601 Phone: 845-454-0120 Fax: 845-686-9016 |
Christa Lee Alberg, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19 Cooke St, Poughkeepsie, NY 12601 Phone: 845-485-7767 |