| Memorial Endocrine Group | |
|
1275 York Ave New York NY 10065-6007 | |
| (646) 227-3813 | |
| Not Available |
| Full Name | Memorial Endocrine Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1275 York Ave, New York, New York |
| Authorized Official Name and Position | Salvatore M Andreozzi (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 6462273751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Endocrine Group 633 3rd Ave Box 3 New York NY 10017-6706 Ph: () - | Memorial Endocrine Group 1275 York Ave New York NY 10065-6007 Ph: (646) 227-3813 |
| NPI Number | 1558332023 |
|---|---|
| Provider Enumeration Date | 01/31/2006 |
| Last Update Date | 04/22/2015 |
| Medicare PECOS PAC ID | 3476444506 |
|---|---|
| Medicare Enrollment ID | O20040320000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558332023 | NPI | - | NPPES |
| Provider Name | Marcia F Kalin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366413304 PECOS PAC ID: 0446242044 Enrollment ID: I20040402000005 |
| Provider Name | Azeez Farooki |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720165699 PECOS PAC ID: 7214970409 Enrollment ID: I20060320000025 |
| Provider Name | James A Fagin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932164886 PECOS PAC ID: 6901792118 Enrollment ID: I20070213000163 |
| Provider Name | Eliza B Geer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073627063 PECOS PAC ID: 5294827697 Enrollment ID: I20070815000212 |
| Provider Name | Monica Girotra |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407933948 PECOS PAC ID: 4183728603 Enrollment ID: I20071029000669 |
| Provider Name | Laura Boucai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1881856755 PECOS PAC ID: 5092880112 Enrollment ID: I20080823000027 |
| Provider Name | Rebecca S Zeuren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598080962 PECOS PAC ID: 9537292545 Enrollment ID: I20100728000199 |
| Provider Name | Robert M Tuttle |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356312854 PECOS PAC ID: 0749305472 Enrollment ID: I20100917000354 |
| Provider Name | Mona M Sabra |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619924750 PECOS PAC ID: 2769377647 Enrollment ID: I20100928001321 |
| Provider Name | Stephanie A Fish |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770502262 PECOS PAC ID: 1951597525 Enrollment ID: I20101122000460 |
| Provider Name | Richard N Kolesnick |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801867692 PECOS PAC ID: 1355530320 Enrollment ID: I20110105001309 |
| Provider Name | Ruben Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073941225 PECOS PAC ID: 1658690441 Enrollment ID: I20150429000351 |
| Provider Name | James H Flory |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336382787 PECOS PAC ID: 0547576787 Enrollment ID: I20150902000713 |
| Provider Name | Lubaina Shaukat Presswala |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164867941 PECOS PAC ID: 9234421736 Enrollment ID: I20171206001017 |
| Provider Name | Samantha K Newman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508244690 PECOS PAC ID: 6800140252 Enrollment ID: I20181121001003 |
| Provider Name | Jessica R Divanno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477083996 PECOS PAC ID: 8022378090 Enrollment ID: I20190405000071 |
| Provider Name | Amara M Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790355048 PECOS PAC ID: 6709275985 Enrollment ID: I20211109001499 |
| Provider Name | Yee-ming M Cheung |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609568559 PECOS PAC ID: 7810351343 Enrollment ID: I20230915001950 |
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