| Community Healthcare Network Inc | |
|
1002 Westchester Ave Bronx NY 10459 | |
| (718) 320-4466 | |
| (718) 991-3829 |
| Full Name | Community Healthcare Network Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1002 Westchester Ave, Bronx, New York |
| Authorized Official Name and Position | Alan J. Wengrofsky (CFO) |
| Authorized Official Contact | 2125452481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Healthcare Network Inc 44 W 28th Street Floor 5 New York NY 10001-4212 Ph: (212) 545-2439 | Community Healthcare Network Inc 1002 Westchester Ave Bronx NY 10459 Ph: (718) 320-4466 |
| NPI Number | 1316014103 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 09/12/2025 |
| Medicare PECOS PAC ID | 7416855143 |
|---|---|
| Medicare Enrollment ID | O20040322000987 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316014103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New York) | Primary |
| Provider Name | Karl Cirincione |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295818706 PECOS PAC ID: 1254319346 Enrollment ID: I20040713001667 |
| Provider Name | Grace A Chow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558379628 PECOS PAC ID: 2860454469 Enrollment ID: I20041027000160 |
| Provider Name | Orit Saigh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447249016 PECOS PAC ID: 9032171251 Enrollment ID: I20041101000036 |
| Provider Name | Ladan M Ahmadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336230358 PECOS PAC ID: 4688630700 Enrollment ID: I20041209000459 |
| Provider Name | Kelly C Horn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699730580 PECOS PAC ID: 5890726327 Enrollment ID: I20050824001137 |
| Provider Name | Craig P Herman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124098686 PECOS PAC ID: 5092731513 Enrollment ID: I20051024000231 |
| Provider Name | Andrea Card |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245393875 PECOS PAC ID: 5991808297 Enrollment ID: I20070306000698 |
| Provider Name | Victoria Amankwa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508889098 PECOS PAC ID: 8022114776 Enrollment ID: I20070426000358 |
| Provider Name | Sharon L Griffith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396778221 PECOS PAC ID: 5193884294 Enrollment ID: I20081104000556 |
| Provider Name | Holly H Weiner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083735500 PECOS PAC ID: 4587702444 Enrollment ID: I20091113000056 |
| Provider Name | Prina P Amin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174781009 PECOS PAC ID: 6709924525 Enrollment ID: I20091113000549 |
| Provider Name | Lisa T Kirkland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104801802 PECOS PAC ID: 3072653211 Enrollment ID: I20091218000050 |
| Provider Name | Joseph G Squitieri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831357565 PECOS PAC ID: 6709917016 Enrollment ID: I20100701000098 |
| Provider Name | Daniel L Napolitano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134387079 PECOS PAC ID: 3072707355 Enrollment ID: I20101101000188 |
| Provider Name | Keith W Roach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780771865 PECOS PAC ID: 8527248335 Enrollment ID: I20110211000251 |
| Provider Name | Jenny Y Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588895395 PECOS PAC ID: 6800079112 Enrollment ID: I20110324000229 |
| Provider Name | Stacey A Cacciola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407807936 PECOS PAC ID: 1850552175 Enrollment ID: I20120413000258 |
| Provider Name | Natalee M Bussoletti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396046918 PECOS PAC ID: 7214190404 Enrollment ID: I20120525000573 |
| Provider Name | Laurie Schwartz Moser |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972647410 PECOS PAC ID: 4183888522 Enrollment ID: I20120614000269 |
| Provider Name | Mary Adar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225346067 PECOS PAC ID: 9234379413 Enrollment ID: I20130711000526 |
| Provider Name | Taisha L Benjamin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124297122 PECOS PAC ID: 3577799626 Enrollment ID: I20131119000810 |
| Provider Name | Laurence Cloutier-champagne |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811254725 PECOS PAC ID: 5890924369 Enrollment ID: I20140203000317 |
| Provider Name | Melissa Olson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184740722 PECOS PAC ID: 7719110543 Enrollment ID: I20140502000141 |
| Provider Name | May Wong Lemon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790114676 PECOS PAC ID: 8123244787 Enrollment ID: I20140717001262 |
| Provider Name | Dori Ann Mclennan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629133194 PECOS PAC ID: 1153647656 Enrollment ID: I20150227000683 |
| Provider Name | Olivia Mora-lett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194114926 PECOS PAC ID: 9931425345 Enrollment ID: I20150302002266 |
| Provider Name | Justin Torrente |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952662801 PECOS PAC ID: 9436463569 Enrollment ID: I20150804003467 |
| Provider Name | Sindhura Manubolu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366730699 PECOS PAC ID: 5597072405 Enrollment ID: I20150909002374 |
| Provider Name | Sandra Rolston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659490563 PECOS PAC ID: 9335119874 Enrollment ID: I20150928001017 |
| Provider Name | Marie Fritza Fievre Garnes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396817268 PECOS PAC ID: 7911215538 Enrollment ID: I20151001001185 |
| Provider Name | Satoko Kanahara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427343722 PECOS PAC ID: 8022318286 Enrollment ID: I20151120000411 |
| Provider Name | Sasha T Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881066942 PECOS PAC ID: 3870894843 Enrollment ID: I20151216000823 |
| Provider Name | Alexander Nmoma |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407096274 PECOS PAC ID: 9830491034 Enrollment ID: I20160105001816 |
| Provider Name | Hunter Polese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528441672 PECOS PAC ID: 2365740602 Enrollment ID: I20160419002748 |
| Provider Name | Sabrina J Gard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477895605 PECOS PAC ID: 1153616271 Enrollment ID: I20160827000423 |
| Provider Name | Andrea Ciano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265825970 PECOS PAC ID: 0749575736 Enrollment ID: I20160830002137 |
| Provider Name | Colette B Russen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780042606 PECOS PAC ID: 6507153616 Enrollment ID: I20160916001654 |
| Provider Name | Nelson Valenzuela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316490675 PECOS PAC ID: 8123306883 Enrollment ID: I20161031002355 |
| Provider Name | Anna Rickards |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225589252 PECOS PAC ID: 0941588511 Enrollment ID: I20161102000944 |
| Provider Name | Alison Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386193399 PECOS PAC ID: 9335428663 Enrollment ID: I20161109001698 |
| Provider Name | Angela Angelis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366980732 PECOS PAC ID: 6800171893 Enrollment ID: I20170313001612 |
| Provider Name | Stephanie Neves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790134500 PECOS PAC ID: 0143505891 Enrollment ID: I20170321001907 |
| Provider Name | Peggy B.k Leung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548688518 PECOS PAC ID: 9234402199 Enrollment ID: I20170829002212 |
| Provider Name | Rebecca Y Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104210426 PECOS PAC ID: 2567735103 Enrollment ID: I20170905000107 |
| Provider Name | Brianna Bouchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780100461 PECOS PAC ID: 6608132790 Enrollment ID: I20171106001744 |
| Provider Name | Noemi Anne Charnow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538494448 PECOS PAC ID: 0345500641 Enrollment ID: I20180206001606 |
| Provider Name | Anna Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821509027 PECOS PAC ID: 5698036754 Enrollment ID: I20180306001745 |
| Provider Name | Bryan Emanuel Tolentino Guerrero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578966289 PECOS PAC ID: 4981969094 Enrollment ID: I20180521000136 |
| Provider Name | Michelle Diaz-gautreau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881097111 PECOS PAC ID: 7618225236 Enrollment ID: I20180730001938 |
| Provider Name | Ellen Hollander-sande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033696091 PECOS PAC ID: 8820347099 Enrollment ID: I20180821002501 |
| Provider Name | Jessica Kaylyn Marchini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659850931 PECOS PAC ID: 6901157452 Enrollment ID: I20180921000947 |
| Provider Name | Keshia Sylvia Okorie |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538648563 PECOS PAC ID: 5193076222 Enrollment ID: I20180928000034 |
| Provider Name | Jenny Mintz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164813473 PECOS PAC ID: 6507109139 Enrollment ID: I20190522000331 |
| Provider Name | Carlos N Hernandez Torres |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1871723171 PECOS PAC ID: 8820253693 Enrollment ID: I20190723001789 |
| Provider Name | Isabella Herold |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376180349 PECOS PAC ID: 8022443621 Enrollment ID: I20200108001278 |
| Provider Name | Anne S Rousselot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629488457 PECOS PAC ID: 6901165422 Enrollment ID: I20200121001323 |
| Provider Name | Caryne Jean Michel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659846889 PECOS PAC ID: 2062849292 Enrollment ID: I20200227000712 |
| Provider Name | Julian Di'jon Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699313668 PECOS PAC ID: 2264855139 Enrollment ID: I20200710000807 |
| Provider Name | Alexandra King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659802460 PECOS PAC ID: 8729325519 Enrollment ID: I20200902001362 |
| Provider Name | Keisha A Barry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245769207 PECOS PAC ID: 7315291937 Enrollment ID: I20201026001274 |
| Provider Name | Maria Pizzirusso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730741349 PECOS PAC ID: 6204248438 Enrollment ID: I20201213000047 |
| Provider Name | Nicole Alexis Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285240747 PECOS PAC ID: 3779995584 Enrollment ID: I20201221001648 |
| Provider Name | Yajaira Rosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740727403 PECOS PAC ID: 3678987138 Enrollment ID: I20210126000164 |
| Provider Name | Gildelgar M Centeno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386011997 PECOS PAC ID: 9739593195 Enrollment ID: I20210126000737 |
| Provider Name | Lynn Belles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497059315 PECOS PAC ID: 6002224482 Enrollment ID: I20210423001575 |
| Provider Name | Dana Kidney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063017218 PECOS PAC ID: 4880002096 Enrollment ID: I20210427002369 |
| Provider Name | Nazish Pervez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114509627 PECOS PAC ID: 7517367949 Enrollment ID: I20210607001969 |
| Provider Name | Forrest Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700417763 PECOS PAC ID: 3072914233 Enrollment ID: I20210624002619 |
| Provider Name | Kendra Urdang |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356908438 PECOS PAC ID: 6103227293 Enrollment ID: I20210628000263 |
| Provider Name | Shelley A Co |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851740179 PECOS PAC ID: 3577965664 Enrollment ID: I20210712004056 |
| Provider Name | Avrielle White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538641311 PECOS PAC ID: 4385046473 Enrollment ID: I20210712004083 |
| Provider Name | Libby Brubaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316441553 PECOS PAC ID: 9739410978 Enrollment ID: I20210823001712 |
| Provider Name | Josephine Harwitt Ledda |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730759176 PECOS PAC ID: 8921406570 Enrollment ID: I20211012001623 |
| Provider Name | Connor Liam Carmichael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952808164 PECOS PAC ID: 7911244785 Enrollment ID: I20211019002273 |
| Provider Name | Tori A Ferland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568033116 PECOS PAC ID: 3375931611 Enrollment ID: I20211019002504 |
| Provider Name | Geraldine Herisse |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093483323 PECOS PAC ID: 4082002019 Enrollment ID: I20211025002599 |
| Provider Name | Josephine Catherine Thiele |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417612276 PECOS PAC ID: 6002205739 Enrollment ID: I20211117002969 |
| Provider Name | Elena Victoria Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568133890 PECOS PAC ID: 9739579632 Enrollment ID: I20211208002822 |
| Provider Name | Cecilia E.w. Nicol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053818799 PECOS PAC ID: 6901297712 Enrollment ID: I20220104002702 |
| Provider Name | Rondell Maliek Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659846046 PECOS PAC ID: 8123419850 Enrollment ID: I20220106001690 |
| Provider Name | Julia E Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124686274 PECOS PAC ID: 2466844170 Enrollment ID: I20220108000027 |
| Provider Name | Beth Lynn Zucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417616194 PECOS PAC ID: 2668867896 Enrollment ID: I20220324001767 |
| Provider Name | Kelsy Camilo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689326035 PECOS PAC ID: 4981090347 Enrollment ID: I20220412000693 |
| Provider Name | Carlos N Hernandez Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871723171 PECOS PAC ID: 8820253693 Enrollment ID: I20220526002748 |
| Provider Name | Emily Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083208557 PECOS PAC ID: 8729454491 Enrollment ID: I20221020001872 |
| Provider Name | Christina Nell Stanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720720618 PECOS PAC ID: 3274902952 Enrollment ID: I20221220002063 |
| Provider Name | Anthony Shih |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1275786352 PECOS PAC ID: 2264730340 Enrollment ID: I20230208003008 |
| Provider Name | Osarhieme Aghayere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063126613 PECOS PAC ID: 1658745229 Enrollment ID: I20230322000250 |
| Provider Name | Bensy Benjamin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326680695 PECOS PAC ID: 8123472347 Enrollment ID: I20230921003040 |
| Provider Name | Donnica Horne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851017685 PECOS PAC ID: 2961857099 Enrollment ID: I20231010002646 |
| Provider Name | Kara Morgan Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760019350 PECOS PAC ID: 4183070428 Enrollment ID: I20231024000535 |
| Provider Name | Frankie Lawrence Mclaurin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225451172 PECOS PAC ID: 9436427010 Enrollment ID: I20231211001296 |
| Provider Name | Isabella O'neill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730962432 PECOS PAC ID: 7810349966 Enrollment ID: I20240115000626 |
| Provider Name | Selina Samuelle Grippo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396427761 PECOS PAC ID: 0547612269 Enrollment ID: I20240118002238 |
| Provider Name | Elizabeth Wornom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598542722 PECOS PAC ID: 6507219854 Enrollment ID: I20240202000769 |
| Provider Name | Charis-ann Ricketts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003461666 PECOS PAC ID: 4587993928 Enrollment ID: I20240202001212 |
| Provider Name | Koral Guadalupe Liriano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245918564 PECOS PAC ID: 1153765417 Enrollment ID: I20240215000343 |
| Provider Name | Miriam Van Harn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891560348 PECOS PAC ID: 2062856321 Enrollment ID: I20240215000345 |
| Provider Name | Silvana Chipollini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245934439 PECOS PAC ID: 3870937808 Enrollment ID: I20240219001002 |
| Provider Name | Karen Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528741188 PECOS PAC ID: 5991149874 Enrollment ID: I20240219003266 |
| Provider Name | Imran Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801267828 PECOS PAC ID: 0143664763 Enrollment ID: I20240221004108 |
| Provider Name | Jessica Roberte Christolin-joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952920142 PECOS PAC ID: 5496190944 Enrollment ID: I20240223003685 |
| Provider Name | Avital Suissa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588341457 PECOS PAC ID: 4688019714 Enrollment ID: I20240228004327 |
| Provider Name | Judy Tam |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1902472285 PECOS PAC ID: 6002284064 Enrollment ID: I20240229002321 |
| Provider Name | Edwin Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316643505 PECOS PAC ID: 2860837762 Enrollment ID: I20240301001511 |
| Provider Name | Lakeisha Nicholls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154407096 PECOS PAC ID: 3375910862 Enrollment ID: I20240321003343 |
| Provider Name | Madeleine Rebecca Amdur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184289746 PECOS PAC ID: 2961840228 Enrollment ID: I20240404003815 |
| Provider Name | Emily Anne Brock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033794359 PECOS PAC ID: 9133567142 Enrollment ID: I20240409003550 |
| Provider Name | Akanksha Gera |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1598921728 PECOS PAC ID: 9335451152 Enrollment ID: I20240415001387 |
| Provider Name | Colin Williams |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1073771630 PECOS PAC ID: 5395140537 Enrollment ID: I20240509002681 |
| Provider Name | John William Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417710260 PECOS PAC ID: 6709318710 Enrollment ID: I20241016000259 |
| Provider Name | Emily M Zhao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194557785 PECOS PAC ID: 8325570336 Enrollment ID: I20241016000301 |
| Provider Name | Elisheva Kay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174262091 PECOS PAC ID: 6406388420 Enrollment ID: I20241016000401 |
| Provider Name | Jacinth Ramsay-green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528832631 PECOS PAC ID: 1850823683 Enrollment ID: I20241017000922 |
| Provider Name | Shirley Zair Then |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518500735 PECOS PAC ID: 2062945454 Enrollment ID: I20241023003279 |
| Provider Name | Nadeen Eliyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174355473 PECOS PAC ID: 6002349461 Enrollment ID: I20241024001552 |
| Provider Name | Isadora Kagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487482097 PECOS PAC ID: 2365975414 Enrollment ID: I20241028001897 |
| Provider Name | David John Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104084862 PECOS PAC ID: 3173058971 Enrollment ID: I20241202003205 |
| Provider Name | Constance Fullwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134798663 PECOS PAC ID: 3870944788 Enrollment ID: I20241210003401 |
| Provider Name | Yolandri Camilo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811511371 PECOS PAC ID: 2961938279 Enrollment ID: I20241210003701 |
| Provider Name | Surong Li |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922829076 PECOS PAC ID: 3375079437 Enrollment ID: I20241212001208 |
| Provider Name | Jasmine Rodriguez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073334298 PECOS PAC ID: 1951838499 Enrollment ID: I20241223002650 |
| Provider Name | Anthony Carney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952921629 PECOS PAC ID: 4385075571 Enrollment ID: I20250121001375 |
| Provider Name | Jennifer Cam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144063439 PECOS PAC ID: 1052837101 Enrollment ID: I20250501000949 |
| Provider Name | Jay Montalbano Pulitano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053905810 PECOS PAC ID: 7113436437 Enrollment ID: I20250529003465 |
| Provider Name | Caitlin Sheridan Seger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962270900 PECOS PAC ID: 2163932146 Enrollment ID: I20250609002841 |
Mmc Medical Park At 1635 Poplar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Mmc Medical Park At 1635 Poplar, 1635 Poplar Street, Bronx, NY 10461 Phone: 914-377-4722 | |
Mmc At Aecom Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Morris Park Avenue, Mmc At Aecom, Bronx, NY 10461 Phone: 914-377-4722 | |
Brightpoint Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1543-1545 Inwood Avenue, Bronx, NY 10452 Phone: 855-687-8700 Fax: 718-294-4765 | |
Aramark Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 646-641-7427 | |
Montefiore Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 E 161st St, Bronx, NY 10451 Phone: 718-920-4321 | |
Amth Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 369 E 149th St, 4th Floor, Bronx, NY 10455 Phone: 718-665-8300 | |
New Genesis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3485 E Tremont Ave Fl 2, Bronx, NY 10465 Phone: 718-828-1549 Fax: 516-303-0968 |