| Cornell Internal Medicine Assoicates | |
|
3611 21st St Long Island City NY 11106-4705 | |
| (718) 482-7772 | |
| (718) 482-9648 |
| Full Name | Cornell Internal Medicine Assoicates |
|---|---|
| Speciality | Internal Medicine |
| Location | 3611 21st St, Long Island City, New York |
| Authorized Official Name and Position | Ann F. Adenbaum (SENIOR DIRECTOR) |
| Authorized Official Contact | 6469625487 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornell Internal Medicine Assoicates 575 Lexington Ave Suite 500 New York NY 10022-6102 Ph: (646) 962-5401 | Cornell Internal Medicine Assoicates 3611 21st St Long Island City NY 11106-4705 Ph: (718) 482-7772 |
| NPI Number | 1649286139 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 08/06/2015 |
| Medicare PECOS PAC ID | 6800709023 |
|---|---|
| Medicare Enrollment ID | O20031217000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649286139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ottis W Isom |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1124115209 PECOS PAC ID: 7911893540 Enrollment ID: I20040223000327 |
| Provider Name | Jeffrey Port |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245320415 PECOS PAC ID: 8123012176 Enrollment ID: I20040413000086 |
| Provider Name | Mikhail Kapchits |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467447235 PECOS PAC ID: 8820081169 Enrollment ID: I20040426000946 |
| Provider Name | Nicholas J Sanfilippo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902807779 PECOS PAC ID: 8123017001 Enrollment ID: I20040506001424 |
| Provider Name | Silvia Chiara Formenti |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568463339 PECOS PAC ID: 5395716096 Enrollment ID: I20040805000160 |
| Provider Name | Arash Salemi |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1699865873 PECOS PAC ID: 2466494398 Enrollment ID: I20060324000198 |
| Provider Name | Samuel Kim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215917091 PECOS PAC ID: 1759317720 Enrollment ID: I20080319000070 |
| Provider Name | Brendon Stiles |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1013176387 PECOS PAC ID: 6709958481 Enrollment ID: I20080714000113 |
| Provider Name | Leonard N Girardi |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1033206123 PECOS PAC ID: 7315007390 Enrollment ID: I20081120000501 |
| Provider Name | Athos Patsalides |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1447409164 PECOS PAC ID: 1355495664 Enrollment ID: I20090821000136 |
| Provider Name | Maria B Fenton-kerimian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528294964 PECOS PAC ID: 8022167220 Enrollment ID: I20100106000173 |
| Provider Name | Marina Neystat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124013990 PECOS PAC ID: 0143213488 Enrollment ID: I20100224000483 |
| Provider Name | Michael J Smith |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275547432 PECOS PAC ID: 1850326653 Enrollment ID: I20101006000400 |
| Provider Name | Baoqing Li |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316026511 PECOS PAC ID: 5991998437 Enrollment ID: I20101018000282 |
| Provider Name | Akkamma Ravi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588778443 PECOS PAC ID: 8325233935 Enrollment ID: I20101109000848 |
| Provider Name | Dattatreyudu Nori |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003920273 PECOS PAC ID: 6103013198 Enrollment ID: I20101202000963 |
| Provider Name | Darren B Schneider |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1790741106 PECOS PAC ID: 4284718255 Enrollment ID: I20101207001096 |
| Provider Name | Jonathan Ps Knisely |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1245228246 PECOS PAC ID: 3274659362 Enrollment ID: I20110504000300 |
| Provider Name | Peter H Connolly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104066356 PECOS PAC ID: 8921276239 Enrollment ID: I20110712000406 |
| Provider Name | Maria Dolgovina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316107147 PECOS PAC ID: 5698938231 Enrollment ID: I20120518000322 |
| Provider Name | Josephine Kang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1760654636 PECOS PAC ID: 4385802719 Enrollment ID: I20120606000196 |
| Provider Name | John Ng |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225287048 PECOS PAC ID: 7315195112 Enrollment ID: I20120920000347 |
| Provider Name | Eugene Shostak |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851574453 PECOS PAC ID: 5991924284 Enrollment ID: I20140918001855 |
| Provider Name | Encouse Golden |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841525664 PECOS PAC ID: 3577783075 Enrollment ID: I20141006000560 |
| Provider Name | Christopher Lau |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1407034374 PECOS PAC ID: 2163738832 Enrollment ID: I20150826002354 |
| Provider Name | Himanshu Nagar |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376868554 PECOS PAC ID: 4789984030 Enrollment ID: I20151118002469 |
| Provider Name | Thomas S Guy |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1558308858 PECOS PAC ID: 8628072295 Enrollment ID: I20160114000115 |
| Provider Name | Joshua B Goldberg |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1750488532 PECOS PAC ID: 1557590171 Enrollment ID: I20160420000303 |
| Provider Name | Elenora Achildiyeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306296751 PECOS PAC ID: 1850679432 Enrollment ID: I20161102001265 |
| Provider Name | Sophia Bornstein |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639498561 PECOS PAC ID: 3577718295 Enrollment ID: I20170303000268 |
| Provider Name | Higinia R Cardenes |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912961657 PECOS PAC ID: 6103966155 Enrollment ID: I20170410002518 |
| Provider Name | Erin Iannacone |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1376847418 PECOS PAC ID: 0749559938 Enrollment ID: I20170630002159 |
| Provider Name | Julia Manzerova |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336409663 PECOS PAC ID: 9335419118 Enrollment ID: I20170727001042 |
| Provider Name | Theodore Yanagihara |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316201007 PECOS PAC ID: 9931470622 Enrollment ID: I20170728001983 |
| Provider Name | Eric C Ko |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639345929 PECOS PAC ID: 3375777659 Enrollment ID: I20170815000016 |
| Provider Name | Steven J Dibiase |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750332292 PECOS PAC ID: 0840229001 Enrollment ID: I20180723001796 |
| Provider Name | Ariel Marciscano |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1760744577 PECOS PAC ID: 7315192010 Enrollment ID: I20181019000463 |
| Provider Name | Andrew G Brandmaier |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235493529 PECOS PAC ID: 3173861846 Enrollment ID: I20190205003513 |
| Provider Name | Christine E. Nelsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245711035 PECOS PAC ID: 6305186503 Enrollment ID: I20190326002336 |
| Provider Name | Stephanie L Mick |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1699849059 PECOS PAC ID: 9234301177 Enrollment ID: I20190416002801 |
| Provider Name | Jennifer E Gibbons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457888315 PECOS PAC ID: 9638500473 Enrollment ID: I20200512002601 |
| Provider Name | Kristen Joy Pepin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306257662 PECOS PAC ID: 7517284268 Enrollment ID: I20201118003160 |
| Provider Name | Kelsey Musselman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255866760 PECOS PAC ID: 1052658051 Enrollment ID: I20210625001968 |
| Provider Name | Amy Skaria |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568849164 PECOS PAC ID: 6507269081 Enrollment ID: I20210721001307 |
| Provider Name | Rena Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689116592 PECOS PAC ID: 7416344015 Enrollment ID: I20220429000594 |
| Provider Name | Paul G Pagnini |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225188105 PECOS PAC ID: 0547241259 Enrollment ID: I20221025000058 |
Astoria Medical Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2535 31st Ave, Long Island City, NY 11106 Phone: 718-274-2600 Fax: 718-274-5337 | |
All Med Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4604 31st Ave, Long Island City, NY 11103 Phone: 914-629-0989 Fax: 866-313-6065 | |
Una Jane Victoria Allen Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2811 Queens Plz N # 402, Long Island City, NY 11101 Phone: 718-391-8301 | |
Plume Health, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 47th Ave Ste 3100, Long Island City, NY 11101 Phone: 720-248-4483 | |
Domenick Acquista, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3101 Vernon Blvd, Long Island City, NY 11106 Phone: 718-362-1321 | |
Hy Acupuncture P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 50th Ave, Long Island City, NY 11101 Phone: 646-251-6650 | |
Icl Healthcare Choices Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2110 Borden Ave, Long Island City, NY 11101 Phone: 718-784-5696 Fax: 347-649-0663 |