| Endion Medical Healthcare Pc | |
|
160 N Midland Ave Nyack NY 10960-1912 | |
| (845) 348-2000 | |
| Not Available |
| Full Name | Endion Medical Healthcare Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 160 N Midland Ave, Nyack, New York |
| Authorized Official Name and Position | Laura Fall (PE MANAGER) |
| Authorized Official Contact | 2536826040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endion Medical Healthcare Pc 120 Brentwood Commons Way Ste 510 Brentwood TN 37027-2028 Ph: (253) 682-6040 | Endion Medical Healthcare Pc 160 N Midland Ave Nyack NY 10960-1912 Ph: (845) 348-2000 |
| NPI Number | 1629257316 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 09/02/2025 |
| Medicare PECOS PAC ID | 5890875322 |
|---|---|
| Medicare Enrollment ID | O20080109000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629257316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shani Varghese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558922682 PECOS PAC ID: 2668707357 Enrollment ID: I20190717003405 |
| Provider Name | Ann Kozlik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780213660 PECOS PAC ID: 8224485750 Enrollment ID: I20231106001729 |
| Provider Name | Abdi Solomon Deressa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952988941 PECOS PAC ID: 5890226765 Enrollment ID: I20241002002244 |
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