| Cerebral Palsy Of Nys | |
|
Koicheff Health Care Center 2324 Forest Ave Staten Island NY 10303 | |
| (718) 447-0200 | |
| (718) 981-1431 |
| Full Name | Cerebral Palsy Of Nys |
|---|---|
| Speciality | Clinic/Center |
| Location | Koicheff Health Care Center, Staten Island, New York |
| Authorized Official Name and Position | Thomas Mandelkow (EXECUTIVE VP) |
| Authorized Official Contact | 2129475770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cerebral Palsy Of Nys 40 Rector St Fl 15 New York NY 10006-1722 Ph: (212) 947-5770 | Cerebral Palsy Of Nys Koicheff Health Care Center 2324 Forest Ave Staten Island NY 10303 Ph: (718) 447-0200 |
| NPI Number | 1376600551 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/14/2020 |
| Medicare PECOS PAC ID | 0749275584 |
|---|---|
| Medicare Enrollment ID | O20040420000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376600551 | NPI | - | NPPES |
| 03006282 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (New York) | Primary |
| Provider Name | Garry M Werner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639409600 PECOS PAC ID: 6901896596 Enrollment ID: I20040517001531 |
| Provider Name | Karen E Mallimson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295800225 PECOS PAC ID: 0840393815 Enrollment ID: I20070312000473 |
| Provider Name | Tara G Wolfert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619177458 PECOS PAC ID: 4082702659 Enrollment ID: I20071115000012 |
| Provider Name | Paul A Digiovanni |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013054048 PECOS PAC ID: 2466515119 Enrollment ID: I20090107000358 |
| Provider Name | Charmaine M Gabbidon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124168976 PECOS PAC ID: 6800959313 Enrollment ID: I20090109000383 |
| Provider Name | Dina Nelson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154421998 PECOS PAC ID: 0941489371 Enrollment ID: I20110201000007 |
| Provider Name | Irina Yulis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033360664 PECOS PAC ID: 5991857781 Enrollment ID: I20110228000000 |
| Provider Name | George H Quezon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871806141 PECOS PAC ID: 3072783711 Enrollment ID: I20110907000964 |
| Provider Name | Azimah P Ehr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194939819 PECOS PAC ID: 4183885122 Enrollment ID: I20120418000320 |
| Provider Name | Marilyn A Ladewig |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821356106 PECOS PAC ID: 4183873326 Enrollment ID: I20121004000183 |
| Provider Name | Soni Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710024757 PECOS PAC ID: 9436394798 Enrollment ID: I20130315000058 |
| Provider Name | Veronica X Gao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841330271 PECOS PAC ID: 5092877670 Enrollment ID: I20131014000666 |
| Provider Name | Aimee Yona Abiera Paler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942623897 PECOS PAC ID: 1355572678 Enrollment ID: I20140328001332 |
| Provider Name | Maia C King |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649585597 PECOS PAC ID: 7719200575 Enrollment ID: I20141231000311 |
| Provider Name | Diankah Eligon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427185487 PECOS PAC ID: 8022317320 Enrollment ID: I20160506001757 |
| Provider Name | Farzana Ghafoor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568508109 PECOS PAC ID: 0941582399 Enrollment ID: I20170120000745 |
| Provider Name | Brenda Munroe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992084933 PECOS PAC ID: 7214214162 Enrollment ID: I20170503000803 |
| Provider Name | Akiko Schaier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699146076 PECOS PAC ID: 3971877614 Enrollment ID: I20170920000084 |
| Provider Name | Madelon Lanip |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972716652 PECOS PAC ID: 4385971597 Enrollment ID: I20190812000971 |
| Provider Name | Francisca Bona Kim |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619457892 PECOS PAC ID: 6507277761 Enrollment ID: I20210909002083 |
| Provider Name | Danielle King |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245902725 PECOS PAC ID: 9638568025 Enrollment ID: I20211104002350 |
| Provider Name | Sarah Edwards |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427713080 PECOS PAC ID: 8022409762 Enrollment ID: I20220106001739 |
| Provider Name | Stephen Joseph Edelstein |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760126585 PECOS PAC ID: 4981082591 Enrollment ID: I20220609000603 |
| Provider Name | Sheila Rebecca Weinstock |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083921126 PECOS PAC ID: 1052780913 Enrollment ID: I20221215001707 |
| Provider Name | Golda Adler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699460014 PECOS PAC ID: 1456711605 Enrollment ID: I20230719001649 |
| Provider Name | Tinamarie Rovito Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831711316 PECOS PAC ID: 8123480886 Enrollment ID: I20230811000826 |
| Provider Name | Viktor Cortese |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316601230 PECOS PAC ID: 1254775547 Enrollment ID: I20240214002460 |
| Provider Name | Charmaine Christine Lyiscott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396118246 PECOS PAC ID: 3971949553 Enrollment ID: I20240306002627 |
All Island Physician Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 Bard Ave, Staten Island, NY 10310 Phone: 718-818-3327 | |
Im Care Family Health Np Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3974 Amboy Rd Ste 302, Staten Island, NY 10308 Phone: 718-967-1071 | |
Richmond Primary Care Specialists, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 Seguine Ave, Suite 1, Staten Island, NY 10309 Phone: 718-967-8300 Fax: 718-967-8335 | |
S & G Medical Services, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3350 Victory Blvd Unit A, Staten Island, NY 10314 Phone: 718-331-6064 | |
Onecare Health-advanced Practice Health & Wellness Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 97 Port Richmond Ave, Staten Island, NY 10302 Phone: 347-460-1239 | |
Dongan Hills Medical Practice,pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1487 Richmond Rd, Staten Island, NY 10304 Phone: 718-979-3643 Fax: 718-987-2655 | |
Internal Medicine Associates Of Richmond County Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2260 Victory Boulevard, Staten Island, NY 10314 Phone: 718-761-4400 Fax: 718-698-0878 |