| Endwell Family Physicians LLP | |
|
415 Hooper Rd Endwell NY 13760-3698 | |
| (607) 754-3863 | |
| (607) 754-5697 |
| Full Name | Endwell Family Physicians LLP |
|---|---|
| Speciality | Family Medicine |
| Location | 415 Hooper Rd, Endwell, New York |
| Authorized Official Name and Position | Jonathan a Harris (PARTNER) |
| Authorized Official Contact | 6077543863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endwell Family Physicians LLP 415 Hooper Rd Endwell NY 13760-3698 Ph: (607) 754-3863 | Endwell Family Physicians LLP 415 Hooper Rd Endwell NY 13760-3698 Ph: (607) 754-3863 |
| NPI Number | 1871512947 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 04/01/2008 |
| Medicare PECOS PAC ID | 9537063987 |
|---|---|
| Medicare Enrollment ID | O20031126000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871512947 | NPI | - | NPPES |
| 00557575 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Stefanie R Berg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598875866 PECOS PAC ID: 6103809181 Enrollment ID: I20040610000923 |
| Provider Name | Laurie K Belknap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508096181 PECOS PAC ID: 6305982786 Enrollment ID: I20091015000504 |
| Provider Name | Suchet R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942229018 PECOS PAC ID: 4486795564 Enrollment ID: I20100112000234 |
| Provider Name | Kimberly M Desantis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376578724 PECOS PAC ID: 9739163908 Enrollment ID: I20100112000252 |
| Provider Name | Rekha S Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578598843 PECOS PAC ID: 0648311720 Enrollment ID: I20100112000264 |
| Provider Name | James C Holler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295755478 PECOS PAC ID: 1850295213 Enrollment ID: I20100112000282 |
| Provider Name | John S Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942220223 PECOS PAC ID: 0840194205 Enrollment ID: I20100112000298 |
| Provider Name | Lazarus B Gehring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629001722 PECOS PAC ID: 4587705678 Enrollment ID: I20100112000317 |
| Provider Name | Bruce T Bowling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407881832 PECOS PAC ID: 2860396215 Enrollment ID: I20100112000326 |
| Provider Name | Jonathan a Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376563551 PECOS PAC ID: 5496659856 Enrollment ID: I20100112000343 |
| Provider Name | Duncan Sze-tu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467472647 PECOS PAC ID: 5395649750 Enrollment ID: I20100112000360 |
| Provider Name | Demetrios Gasparis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427217140 PECOS PAC ID: 2163551664 Enrollment ID: I20100521000073 |
| Provider Name | Gloria J Block |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528093978 PECOS PAC ID: 5496947657 Enrollment ID: I20101006000248 |
| Provider Name | John H O Neill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508891953 PECOS PAC ID: 9436341617 Enrollment ID: I20101006000442 |
| Provider Name | Anne E Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871804120 PECOS PAC ID: 3173719481 Enrollment ID: I20101130000006 |
| Provider Name | Trichelle L Feheley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518275023 PECOS PAC ID: 3476734385 Enrollment ID: I20110225000353 |
| Provider Name | Eric J Lorraine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801114285 PECOS PAC ID: 6002041068 Enrollment ID: I20131028001980 |
| Provider Name | Teresa a Antalek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457790370 PECOS PAC ID: 1557592383 Enrollment ID: I20140320000937 |
| Provider Name | Caitlyn E Burford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952695868 PECOS PAC ID: 5890915243 Enrollment ID: I20141007000185 |
| Provider Name | Michael T Federico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740574383 PECOS PAC ID: 5597997106 Enrollment ID: I20141104001239 |
| Provider Name | Matthew Demtrak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396260352 PECOS PAC ID: 9638443500 Enrollment ID: I20170918000342 |
| Provider Name | Elizabeth Labarre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356122725 PECOS PAC ID: 7911355276 Enrollment ID: I20231127002248 |
| Provider Name | Maura Lynn Naro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831965532 PECOS PAC ID: 2062850837 Enrollment ID: I20240329002259 |
| Provider Name | Micaela Elizabeth Miceli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306681390 PECOS PAC ID: 6204368327 Enrollment ID: I20241015000501 |
| Provider Name | Megan Rigotti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699404228 PECOS PAC ID: 1951818541 Enrollment ID: I20250729001516 |
| Provider Name | Elizabeth Predmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023722311 PECOS PAC ID: 0143766683 Enrollment ID: I20250922003712 |
Bradrich Healthcare LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 E Main St Ste 1, Endwell, NY 13760 Phone: 607-222-9944 |