| United Cerebral Palsy Association Of The North Country, Inc. | |
|
4 Commerce Ln Canton NY 13617-3739 | |
| (315) 386-1156 | |
| (315) 379-9388 |
| Full Name | United Cerebral Palsy Association Of The North Country, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4 Commerce Ln, Canton, New York |
| Authorized Official Name and Position | Alexander Bryden (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3153798320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Cerebral Palsy Association Of The North Country, Inc. 4 Commerce Ln Canton NY 13617-3739 Ph: (315) 386-1156 | United Cerebral Palsy Association Of The North Country, Inc. 4 Commerce Ln Canton NY 13617-3739 Ph: (315) 386-1156 |
| NPI Number | 1467432765 |
|---|---|
| Provider Enumeration Date | 01/20/2006 |
| Last Update Date | 01/22/2025 |
| Medicare PECOS PAC ID | 8729078001 |
|---|---|
| Medicare Enrollment ID | O20040518000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467432765 | NPI | - | NPPES |
| 01995615 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Muhammad Saleem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184618084 PECOS PAC ID: 6901896935 Enrollment ID: I20040513000252 |
| Provider Name | Craig W Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568447993 PECOS PAC ID: 7911984760 Enrollment ID: I20040630000736 |
| Provider Name | Andrew F Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154365286 PECOS PAC ID: 5294768297 Enrollment ID: I20050912000171 |
| Provider Name | Charles A Dembowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447205570 PECOS PAC ID: 9830101716 Enrollment ID: I20060614000043 |
| Provider Name | Melinda Burwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689841447 PECOS PAC ID: 4688749922 Enrollment ID: I20080820000580 |
| Provider Name | Donald C Schuessler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144212184 PECOS PAC ID: 4183673114 Enrollment ID: I20101209000081 |
| Provider Name | Kenneth H Hilborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346218773 PECOS PAC ID: 6608056528 Enrollment ID: I20110210000237 |
| Provider Name | Amber K Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598884967 PECOS PAC ID: 1951577097 Enrollment ID: I20111220000725 |
| Provider Name | Christine R Thrasher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871843193 PECOS PAC ID: 1658525571 Enrollment ID: I20130131000082 |
| Provider Name | Ernie S Cougler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639514565 PECOS PAC ID: 7517109416 Enrollment ID: I20140623002054 |
| Provider Name | Georgia A Hargrave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790985182 PECOS PAC ID: 3274753702 Enrollment ID: I20141006001756 |
| Provider Name | Anne Bender |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891828679 PECOS PAC ID: 2567787211 Enrollment ID: I20150220001897 |
| Provider Name | Melissa J Benardot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427303353 PECOS PAC ID: 0648244384 Enrollment ID: I20160407001508 |
| Provider Name | Tahir Mohammad Anwar |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1497095707 PECOS PAC ID: 1052699261 Enrollment ID: I20161022000111 |
| Provider Name | Marcia J Raville |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003929134 PECOS PAC ID: 0446531248 Enrollment ID: I20170111000076 |
| Provider Name | Hillary M Heaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669994190 PECOS PAC ID: 4880967819 Enrollment ID: I20170913001369 |
| Provider Name | Donna D Gokey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356858724 PECOS PAC ID: 7911268610 Enrollment ID: I20180220002054 |
| Provider Name | Jackline B Ngalame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861869703 PECOS PAC ID: 4688979842 Enrollment ID: I20190201000139 |
| Provider Name | Derek A. Fenton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245923424 PECOS PAC ID: 2961861851 Enrollment ID: I20230711000508 |
| Provider Name | Nicole Lynne Bonno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154195667 PECOS PAC ID: 9133640105 Enrollment ID: I20250306001025 |
| Provider Name | Abigail Ann Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740961564 PECOS PAC ID: 8820438161 Enrollment ID: I20250312003549 |
Claxton-hepburn Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 W Main St, Canton, NY 13617 Phone: 315-379-4700 | |
Carthage Area Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 39 W Main St, Canton, NY 13617 Phone: 315-379-4700 Fax: 315-713-6512 | |
Canton Family Physicians, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 80 E Main St, East Wing, Suite 1a, Canton, NY 13617 Phone: 315-386-8184 | |
Healey Medical Practice, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Park St, Canton, NY 13617 Phone: 315-379-9158 Fax: 315-379-9604 | |
Canton-potsdam Medical Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 80 East Main Street, Canton, NY 13617 Phone: 315-265-3300 Fax: 315-261-6025 | |
St Lawrence County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 80 State Highway 310 Ste 2, Canton, NY 13617 Phone: 315-386-2325 Fax: 315-386-2203 |