| My Medical Pc | |
|
612 Corporate Way Ste 2, Valley Cottage, NY 10989-2027 | |
| (718) 280-5436 | |
| (718) 414-1651 |
| Full Name | My Medical Pc |
|---|---|
| Type | Facility |
| Speciality | Family Medicine |
| Location | 612 Corporate Way Ste 2, Valley Cottage, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518637891 | NPI | - | NPPES |
| Provider Name | Diana Castro |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518993476 PECOS PAC ID: 2365330057 Enrollment ID: I20040305000010 |
| Provider Name | Emerth L Coburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477544096 PECOS PAC ID: 8022088806 Enrollment ID: I20040728001712 |
| Provider Name | Brian M Strauss |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659595957 PECOS PAC ID: 6305803610 Enrollment ID: I20041217000264 |
| Provider Name | Jaikumar Ravunniarath Menon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427000934 PECOS PAC ID: 9436117173 Enrollment ID: I20041228000313 |
| Provider Name | Maria P Noya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912010943 PECOS PAC ID: 0840236592 Enrollment ID: I20050701000908 |
| Provider Name | Ghazanfar W Haidery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801974159 PECOS PAC ID: 4082650312 Enrollment ID: I20050707001010 |
| Provider Name | Janine M Kramer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205891405 PECOS PAC ID: 4981613486 Enrollment ID: I20060411000610 |
| Provider Name | Richard S Zito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366555849 PECOS PAC ID: 4789693292 Enrollment ID: I20060411000734 |
| Provider Name | Anna Dibona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881629053 PECOS PAC ID: 6002819331 Enrollment ID: I20060807000108 |
| Provider Name | Judy Fuhrer Avigdor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235324922 PECOS PAC ID: 1052482213 Enrollment ID: I20080616000163 |
| Provider Name | Roseline N Ihim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790979391 PECOS PAC ID: 4183703663 Enrollment ID: I20080825000123 |
| Provider Name | Georges R Ramalanjaona |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104811785 PECOS PAC ID: 4587688429 Enrollment ID: I20081119000554 |
| Provider Name | Michelle Fried |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659510642 PECOS PAC ID: 0244380723 Enrollment ID: I20090603000367 |
| Provider Name | Adam L Moskowitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679652036 PECOS PAC ID: 3971655010 Enrollment ID: I20090721000098 |
| Provider Name | Mazal Agazarova |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508188087 PECOS PAC ID: 6507993656 Enrollment ID: I20100421000218 |
| Provider Name | Florence Pua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124105036 PECOS PAC ID: 3971796483 Enrollment ID: I20101015001206 |
| Provider Name | Peyman Eli Younesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891942645 PECOS PAC ID: 0345420790 Enrollment ID: I20110202000565 |
| Provider Name | Emmanuel Z De Jesus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962798736 PECOS PAC ID: 0840478426 Enrollment ID: I20110630000063 |
| Provider Name | Nidhi Dugar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588656771 PECOS PAC ID: 6507804721 Enrollment ID: I20110705000236 |
| Provider Name | Arash Shifteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154622421 PECOS PAC ID: 0446429724 Enrollment ID: I20110802000450 |
| Provider Name | Jody Ann R Buckle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295043032 PECOS PAC ID: 1759556657 Enrollment ID: I20111205000311 |
| Provider Name | Surinder A Pal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538245139 PECOS PAC ID: 5294987624 Enrollment ID: I20121212000217 |
| Provider Name | Jennifer M Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164655270 PECOS PAC ID: 8426290875 Enrollment ID: I20130814000302 |
| Provider Name | Skylar E Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538321435 PECOS PAC ID: 4880882927 Enrollment ID: I20140312001261 |
| Provider Name | Jason Sarzosa |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144623695 PECOS PAC ID: 6608098645 Enrollment ID: I20141107000291 |
| Provider Name | Ethan John Liebler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770677809 PECOS PAC ID: 1052308608 Enrollment ID: I20150716000153 |
| Provider Name | Afolabi Poroye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386956654 PECOS PAC ID: 8022240183 Enrollment ID: I20160202002674 |
| Provider Name | Ishtiaq Hossain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104261379 PECOS PAC ID: 0345472999 Enrollment ID: I20160817000893 |
| Provider Name | Zoneera Hameed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831647601 PECOS PAC ID: 4284922345 Enrollment ID: I20161005003019 |
| Provider Name | Georgey Easow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083637805 PECOS PAC ID: 6204114572 Enrollment ID: I20161021000609 |
| Provider Name | Osama Zaki Almanastirly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023480290 PECOS PAC ID: 3476831835 Enrollment ID: I20161107000256 |
| Provider Name | Alexander I Gumbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750764007 PECOS PAC ID: 4385923549 Enrollment ID: I20161111000910 |
| Provider Name | Michael Penhasov |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336676527 PECOS PAC ID: 6305114281 Enrollment ID: I20170619000155 |
| Provider Name | Yulissa Familia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720518715 PECOS PAC ID: 0840562922 Enrollment ID: I20170824001114 |
| Provider Name | Azmatullah Syed Hussaini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366725335 PECOS PAC ID: 4587972906 Enrollment ID: I20180222001497 |
| Provider Name | Daniella Fireman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750856928 PECOS PAC ID: 1052665502 Enrollment ID: I20181119003245 |
| Provider Name | Ryanna D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285112441 PECOS PAC ID: 3274878301 Enrollment ID: I20181218003386 |
| Provider Name | Eric Parker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528522240 PECOS PAC ID: 0648518258 Enrollment ID: I20190206001418 |
| Provider Name | Blima Marcus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083181598 PECOS PAC ID: 4688916109 Enrollment ID: I20190503000228 |
| Provider Name | Marie Carmelle Rommage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851809131 PECOS PAC ID: 3375876725 Enrollment ID: I20190625001002 |
| Provider Name | Andrea Gomez Ugarelli |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497235857 PECOS PAC ID: 7012242183 Enrollment ID: I20190711001224 |
| Provider Name | Michell Valeria Peralta |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710350020 PECOS PAC ID: 9638408057 Enrollment ID: I20190911000455 |
| Provider Name | Renata Dworzanczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184108219 PECOS PAC ID: 1850620170 Enrollment ID: I20190912000808 |
| Provider Name | Asha Kuniyil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710152558 PECOS PAC ID: 5193055606 Enrollment ID: I20190926001176 |
| Provider Name | Ruby Ezra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699088898 PECOS PAC ID: 3173853397 Enrollment ID: I20191001000821 |
| Provider Name | Michael D Jurewicz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649562414 PECOS PAC ID: 6406117522 Enrollment ID: I20191205001939 |
| Provider Name | Ahmed H Abdo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457999336 PECOS PAC ID: 9133553969 Enrollment ID: I20200102001149 |
| Provider Name | Miguel F Noble |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649817032 PECOS PAC ID: 5193152650 Enrollment ID: I20200221001060 |
| Provider Name | Tasha T Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730513631 PECOS PAC ID: 3678992427 Enrollment ID: I20200929001805 |
| Provider Name | Shyan Jagdeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205459534 PECOS PAC ID: 7810308111 Enrollment ID: I20201117002010 |
| Provider Name | Devin Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760915425 PECOS PAC ID: 7719242163 Enrollment ID: I20210309000071 |
| Provider Name | Samantha Veres |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538733753 PECOS PAC ID: 6103235403 Enrollment ID: I20210517000759 |
| Provider Name | Natalie Ocasio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932780129 PECOS PAC ID: 5597165167 Enrollment ID: I20210618000740 |
| Provider Name | Shannon-kaye Marshall |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1265015952 PECOS PAC ID: 1254733819 Enrollment ID: I20210706002252 |
| Provider Name | Priyanka Tushar Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396142071 PECOS PAC ID: 0244633741 Enrollment ID: I20210721002168 |
| Provider Name | Casey Leigh Koeneke |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699393678 PECOS PAC ID: 0244629210 Enrollment ID: I20211112000330 |
| Provider Name | Natalie Carbuccia Carbuccia |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407260524 PECOS PAC ID: 5597156331 Enrollment ID: I20220105000791 |
| Provider Name | Michael Attanasio |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982364360 PECOS PAC ID: 9739570581 Enrollment ID: I20220105000959 |
| Provider Name | Merrin Abraham |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306467253 PECOS PAC ID: 5597158584 Enrollment ID: I20220216000587 |
| Provider Name | Kia Nichole Antipuesto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639844434 PECOS PAC ID: 5597150649 Enrollment ID: I20220328001499 |
| Provider Name | Marissa Silber |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316568280 PECOS PAC ID: 7113312273 Enrollment ID: I20220328001618 |
| Provider Name | Larry Malkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245792043 PECOS PAC ID: 6800124207 Enrollment ID: I20220616002992 |
| Provider Name | Dhara Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215674304 PECOS PAC ID: 3678952728 Enrollment ID: I20220620001213 |
| Provider Name | Juana Miranda-lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073838660 PECOS PAC ID: 5395161970 Enrollment ID: I20220707000843 |
| Provider Name | Amy Gabriel Alken |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184151870 PECOS PAC ID: 6507234911 Enrollment ID: I20221116000671 |
| Provider Name | Ryan Joseph Mumpar Buzon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760181028 PECOS PAC ID: 9638543192 Enrollment ID: I20230323001712 |
| Provider Name | Monica M Flanagan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417697251 PECOS PAC ID: 7618342866 Enrollment ID: I20230331001743 |
| Provider Name | Iram Qureshi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932894441 PECOS PAC ID: 4587020110 Enrollment ID: I20230523003410 |
| Provider Name | Lucille Lore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659912608 PECOS PAC ID: 3971964347 Enrollment ID: I20230801003588 |
| Provider Name | Jennifer Mora |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588386817 PECOS PAC ID: 5799147039 Enrollment ID: I20230817002416 |
| Provider Name | Alexandria Marcella Hutchins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013792654 PECOS PAC ID: 8527422070 Enrollment ID: I20230915002979 |
| Provider Name | Joseph Pierrot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548586159 PECOS PAC ID: 2365898749 Enrollment ID: I20231020001136 |
| Provider Name | Keyla Reyes Denis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801579065 PECOS PAC ID: 5496102220 Enrollment ID: I20231115002691 |
| Provider Name | Adaku A Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194506238 PECOS PAC ID: 8123476058 Enrollment ID: I20231202000038 |
| Provider Name | Meredith Kate Maud |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932976230 PECOS PAC ID: 0042661126 Enrollment ID: I20240112003389 |
| Provider Name | Yusupha M Dukureh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447700562 PECOS PAC ID: 7113379116 Enrollment ID: I20240116000478 |
| Provider Name | Sandra M Guiteau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154044006 PECOS PAC ID: 6901261593 Enrollment ID: I20240227003758 |
| Provider Name | Amir Mahrous Younan Hanna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699464214 PECOS PAC ID: 2264877968 Enrollment ID: I20240305000404 |
| Provider Name | Dayo Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104683226 PECOS PAC ID: 6204273899 Enrollment ID: I20240319000516 |
| Provider Name | Esther Mateo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548028434 PECOS PAC ID: 6709223241 Enrollment ID: I20240320001983 |
| Provider Name | Stephen Dane Frank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467080465 PECOS PAC ID: 1153769849 Enrollment ID: I20240401000605 |
| Provider Name | Erin Callahan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497514822 PECOS PAC ID: 1355789686 Enrollment ID: I20240405002215 |
| Provider Name | Tsippora Winkelstein |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396453338 PECOS PAC ID: 3072953702 Enrollment ID: I20240429002975 |
| Provider Name | Pamela Batista |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275263451 PECOS PAC ID: 3476994161 Enrollment ID: I20240513001451 |
| Provider Name | Victoria Amber Sanchez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174370654 PECOS PAC ID: 2466893151 Enrollment ID: I20240513001494 |
| Provider Name | Nikoleta Alijaj |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528817640 PECOS PAC ID: 1456793777 Enrollment ID: I20240531000739 |
| Provider Name | Ilana Ruchelman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245995745 PECOS PAC ID: 7315483849 Enrollment ID: I20240722000062 |
| Provider Name | Laudenicia Ramirez Moraleta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588081061 PECOS PAC ID: 4789120155 Enrollment ID: I20240722001805 |
| Provider Name | Juan Risech-perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730926841 PECOS PAC ID: 1850838954 Enrollment ID: I20240807002172 |
| Provider Name | Brianne Garcia |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235899089 PECOS PAC ID: 4880134014 Enrollment ID: I20240913002252 |
| Provider Name | David Gyawu Kufuor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881421808 PECOS PAC ID: 8325589096 Enrollment ID: I20240920002870 |
| Provider Name | Luke Reynolds |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679023287 PECOS PAC ID: 2365983830 Enrollment ID: I20240924003031 |
| Provider Name | Chukwukelue Nwabueze Uchefuna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407683899 PECOS PAC ID: 8527509090 Enrollment ID: I20240924003039 |
| Provider Name | Rachel Ann Aloisio |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356867857 PECOS PAC ID: 9032640222 Enrollment ID: I20240928000039 |
| Provider Name | Madiha Naveed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467287151 PECOS PAC ID: 4789117706 Enrollment ID: I20241030000448 |
| Provider Name | Serena Rachel Zomberg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790533933 PECOS PAC ID: 5597299842 Enrollment ID: I20241111000297 |
| Provider Name | Raquel Reichmann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720802267 PECOS PAC ID: 7618402256 Enrollment ID: I20241120000503 |
| Provider Name | Herold Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225858715 PECOS PAC ID: 3072048362 Enrollment ID: I20241122003431 |
| Provider Name | Chandan Peter Gomes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588498729 PECOS PAC ID: 3476089749 Enrollment ID: I20241210002080 |
| Provider Name | Adriana Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508689126 PECOS PAC ID: 1456888452 Enrollment ID: I20250102000933 |
| Provider Name | Arman Maqbool |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780493429 PECOS PAC ID: 9234667874 Enrollment ID: I20250110001434 |
| Provider Name | Kelsey Keryn Ruiz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639736911 PECOS PAC ID: 1658800644 Enrollment ID: I20250121000770 |
| Provider Name | Ulises Maria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952088189 PECOS PAC ID: 6002345972 Enrollment ID: I20250122000492 |
| Provider Name | Ransford Baafi-boateng |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831928274 PECOS PAC ID: 5294265468 Enrollment ID: I20250204001995 |
| Provider Name | Carly Michelle Rosen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407493539 PECOS PAC ID: 7012447949 Enrollment ID: I20250207001154 |
| Mailing Address | Practice Location Address |
|---|---|
| My Medical Pc 6136 170th St Apt M4, Fresh Meadows, NY 11365-1957 Ph: (718) 709-0940 | My Medical Pc 612 Corporate Way Ste 2, Valley Cottage, NY 10989-2027 Ph: (718) 280-5436 |