| Ech Physician's Group | |
|
75 Park Street Elizabethtown NY 12932 | |
| (518) 873-9000 | |
| (518) 873-3097 |
| Full Name | Ech Physician's Group |
|---|---|
| Speciality | General Practice |
| Location | 75 Park Street, Elizabethtown, New York |
| Authorized Official Name and Position | Rodney Boula (CEO) |
| Authorized Official Contact | 5188739000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ech Physician's Group Po Box 277 Elizabethtown NY 12932-0277 Ph: (518) 873-9000 | Ech Physician's Group 75 Park Street Elizabethtown NY 12932 Ph: (518) 873-9000 |
| NPI Number | 1053656744 |
|---|---|
| Provider Enumeration Date | 12/06/2012 |
| Last Update Date | 02/17/2024 |
| Medicare PECOS PAC ID | 3577554138 |
|---|---|
| Medicare Enrollment ID | O20040521000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053656744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 1552701C (New York) | Primary |
| Provider Name | Sabieli Kabeli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063505592 PECOS PAC ID: 7618876392 Enrollment ID: I20031231000548 |
| Provider Name | Myrna A Sanchez-latreille |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1134107600 PECOS PAC ID: 1850295841 Enrollment ID: I20040511001651 |
| Provider Name | Tracie Di Marco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558354274 PECOS PAC ID: 9830170141 Enrollment ID: I20040525000065 |
| Provider Name | Eugene Byrne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912905068 PECOS PAC ID: 2062482045 Enrollment ID: I20040728000071 |
| Provider Name | Jose D Torres |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437214061 PECOS PAC ID: 9032141239 Enrollment ID: I20050908000836 |
| Provider Name | David B Markowitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245281740 PECOS PAC ID: 6002824588 Enrollment ID: I20060328000050 |
| Provider Name | Rob L Demuro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801893318 PECOS PAC ID: 3577568724 Enrollment ID: I20060922000205 |
| Provider Name | James Lawrence Rice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114956596 PECOS PAC ID: 2466454517 Enrollment ID: I20070202000386 |
| Provider Name | Eric B Gorman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659563906 PECOS PAC ID: 7214025295 Enrollment ID: I20071109000175 |
| Provider Name | Todd J Whitman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073585055 PECOS PAC ID: 0749217313 Enrollment ID: I20080618000394 |
| Provider Name | Seema A Lodha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497945596 PECOS PAC ID: 4789760976 Enrollment ID: I20081028000340 |
| Provider Name | Harry A Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972597516 PECOS PAC ID: 2264415249 Enrollment ID: I20081209000467 |
| Provider Name | Pasqualino Caputo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811952583 PECOS PAC ID: 9931092434 Enrollment ID: I20090414000231 |
| Provider Name | Anna M Youngblood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730163619 PECOS PAC ID: 2668511080 Enrollment ID: I20091124000644 |
| Provider Name | Stuart M Hoffman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619927407 PECOS PAC ID: 8325935653 Enrollment ID: I20100728000974 |
| Provider Name | Michael J Celotti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982788824 PECOS PAC ID: 7517146939 Enrollment ID: I20110131000880 |
| Provider Name | Eugene F Cassone |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902874902 PECOS PAC ID: 5991708208 Enrollment ID: I20110221000311 |
| Provider Name | Albert M Imobersteg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518161496 PECOS PAC ID: 1759477144 Enrollment ID: I20110405000268 |
| Provider Name | Robert D Pitts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063592210 PECOS PAC ID: 0042228009 Enrollment ID: I20120203000353 |
| Provider Name | Steven J Elliott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083861934 PECOS PAC ID: 2860555141 Enrollment ID: I20121005000473 |
| Provider Name | Mary K Halloran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396989059 PECOS PAC ID: 8921259557 Enrollment ID: I20121108000109 |
| Provider Name | Kristin L Mack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447539507 PECOS PAC ID: 4789802299 Enrollment ID: I20140826000147 |
| Provider Name | Lynne E Macco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467484543 PECOS PAC ID: 5496739997 Enrollment ID: I20160223000613 |
| Provider Name | Laura A Mulvey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538502901 PECOS PAC ID: 6800181504 Enrollment ID: I20160819000731 |
| Provider Name | Andrew Payne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083058531 PECOS PAC ID: 5698060168 Enrollment ID: I20160823001041 |
| Provider Name | Julie T Vieth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629203559 PECOS PAC ID: 6204091465 Enrollment ID: I20160831001339 |
| Provider Name | Anel Alexis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720475924 PECOS PAC ID: 3678869328 Enrollment ID: I20160907001522 |
| Provider Name | Grant Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881139863 PECOS PAC ID: 4486930641 Enrollment ID: I20170425000045 |
| Provider Name | Rachael A Hite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417482027 PECOS PAC ID: 8820363880 Enrollment ID: I20171002002877 |
| Provider Name | Jose M Acostamadiedo |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1013910256 PECOS PAC ID: 5890719371 Enrollment ID: I20171121000654 |
| Provider Name | Vlada A Alexeeva |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952617995 PECOS PAC ID: 5092945105 Enrollment ID: I20180115000174 |
| Provider Name | Loren M Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770068371 PECOS PAC ID: 1658615281 Enrollment ID: I20181207001169 |
| Provider Name | Douglas Christopher George |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639598659 PECOS PAC ID: 7618196338 Enrollment ID: I20190802001611 |
| Provider Name | Jordan R Ship |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861470247 PECOS PAC ID: 0143386862 Enrollment ID: I20190806004115 |
| Provider Name | Elizabeth Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669032470 PECOS PAC ID: 5496083545 Enrollment ID: I20190827003152 |
| Provider Name | Nicholas J Montello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184285751 PECOS PAC ID: 0941632020 Enrollment ID: I20191111001703 |
| Provider Name | Mark C Bisanzo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740249226 PECOS PAC ID: 8729082334 Enrollment ID: I20200527002281 |
| Provider Name | Ashley Weisman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801158324 PECOS PAC ID: 0042464570 Enrollment ID: I20200807001137 |
| Provider Name | Gavin L Noble |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750335014 PECOS PAC ID: 6002861804 Enrollment ID: I20200824000234 |
| Provider Name | Nicole Robinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356871909 PECOS PAC ID: 1850660747 Enrollment ID: I20200827003230 |
| Provider Name | Molly C Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962704726 PECOS PAC ID: 4587846399 Enrollment ID: I20210413001041 |
| Provider Name | Christopher Hauglid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437656360 PECOS PAC ID: 2466799028 Enrollment ID: I20210526000726 |
| Provider Name | Salam Hawa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851886451 PECOS PAC ID: 4486057981 Enrollment ID: I20210721002384 |
| Provider Name | Nathalie Abisror |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336634922 PECOS PAC ID: 5294138715 Enrollment ID: I20210721002926 |
| Provider Name | Joseph M Kennedy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649664913 PECOS PAC ID: 6002144482 Enrollment ID: I20210922000967 |
| Provider Name | Samuel Flerlage Paskin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912439399 PECOS PAC ID: 4082033840 Enrollment ID: I20211012000218 |
| Provider Name | Neil A Krulewitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083148837 PECOS PAC ID: 0042564882 Enrollment ID: I20211122002591 |
| Provider Name | Il Jun Chon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538173869 PECOS PAC ID: 0547299091 Enrollment ID: I20220518002401 |
| Provider Name | Noah Rohrer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336609122 PECOS PAC ID: 6800129941 Enrollment ID: I20220803000843 |
| Provider Name | Chance Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871053918 PECOS PAC ID: 3577896372 Enrollment ID: I20220808003168 |
| Provider Name | Vanessa Fiorini Furtado |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1043672140 PECOS PAC ID: 7214229350 Enrollment ID: I20220831003147 |
| Provider Name | Riana M North |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528264868 PECOS PAC ID: 9931371994 Enrollment ID: I20221028000992 |
| Provider Name | Marc A Cassone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881057149 PECOS PAC ID: 0244526770 Enrollment ID: I20221209002675 |
| Provider Name | Robert D Inglis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316444326 PECOS PAC ID: 4486058971 Enrollment ID: I20221221000479 |
| Provider Name | Kirana Lynn Lavallie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467185694 PECOS PAC ID: 6406228832 Enrollment ID: I20230214000575 |
| Provider Name | Leila M Amini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831552413 PECOS PAC ID: 9739467762 Enrollment ID: I20230214001177 |
| Provider Name | Ryan Mason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649699125 PECOS PAC ID: 3678876323 Enrollment ID: I20230220002082 |
| Provider Name | Ginger L Gillette-kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497803175 PECOS PAC ID: 1456455567 Enrollment ID: I20230303002118 |
| Provider Name | Terrence O'connor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063851673 PECOS PAC ID: 1557630613 Enrollment ID: I20230405001884 |
| Provider Name | Laura V Forman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285847467 PECOS PAC ID: 9931263258 Enrollment ID: I20230428000323 |
| Provider Name | Gabrielle A Jacquet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821265174 PECOS PAC ID: 0840343380 Enrollment ID: I20230627002596 |
| Provider Name | Maria C Bryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508493164 PECOS PAC ID: 3971926460 Enrollment ID: I20230713002274 |
| Provider Name | Marvin K Malek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417978149 PECOS PAC ID: 5092607903 Enrollment ID: I20230717003363 |
| Provider Name | Wendell A Bliss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356848857 PECOS PAC ID: 4688095920 Enrollment ID: I20230821002059 |
| Provider Name | Adam S Bloom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922348655 PECOS PAC ID: 6103197454 Enrollment ID: I20230906003097 |
| Provider Name | Richard P Hudson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033137179 PECOS PAC ID: 4587672365 Enrollment ID: I20231006000137 |
| Provider Name | William Doherty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457498040 PECOS PAC ID: 9133575012 Enrollment ID: I20231030000554 |
| Provider Name | Kevin Bouchard-hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710291356 PECOS PAC ID: 7810343712 Enrollment ID: I20231030001352 |
| Provider Name | James D Whitledge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366934432 PECOS PAC ID: 0345659066 Enrollment ID: I20231127003101 |
| Provider Name | Jon Michael Sheeser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255350609 PECOS PAC ID: 7911951983 Enrollment ID: I20231213001599 |
| Provider Name | Janine Barreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134748379 PECOS PAC ID: 5799141107 Enrollment ID: I20240105000104 |
| Provider Name | Katherine J Howard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205960812 PECOS PAC ID: 3173647716 Enrollment ID: I20240301003372 |
| Provider Name | Laurel B Plante |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942398755 PECOS PAC ID: 8729085816 Enrollment ID: I20240307000091 |
Dawson & Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8222 River St, Elizabethtown, NY 12932 Phone: 518-593-9446 | |
Charles E Moisan Jr Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Park St, Elizabethtown, NY 12932 Phone: 518-873-6340 | |
Essex County Public Health Nursing Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Water Street, Elizabethtown, NY 12932 Phone: 518-873-3500 Fax: 518-873-3539 |