| Mskcc Clinical Practice Plan | |
|
1275 York Ave New York NY 10065-6007 | |
| (212) 639-2000 | |
| Not Available |
| Full Name | Mskcc Clinical Practice Plan |
|---|---|
| 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 |
|---|---|
| Mskcc Clinical Practice Plan 633 3rd Ave Box 3 New York NY 10017-6706 | Mskcc Clinical Practice Plan 1275 York Ave New York NY 10065-6007 Ph: (212) 639-2000 |
| NPI Number | 1588789341 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 09/24/2008 |
| Medicare PECOS PAC ID | 4981704541 |
|---|---|
| Medicare Enrollment ID | O20070711000565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588789341 | NPI | - | NPPES |
| Provider Name | John P Mulhall |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205813623 PECOS PAC ID: 6800888033 Enrollment ID: I20040330001479 |
| Provider Name | Juliet N Barker |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1497726426 PECOS PAC ID: 7618904673 Enrollment ID: I20050720001181 |
| Provider Name | Rosetta M Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407961386 PECOS PAC ID: 0840207171 Enrollment ID: I20060313000082 |
| Provider Name | Craig H Moskowitz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1053402503 PECOS PAC ID: 0446342620 Enrollment ID: I20070816000927 |
| Provider Name | David J Straus |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1285605998 PECOS PAC ID: 5890887079 Enrollment ID: I20070816000935 |
| Provider Name | Katharine C Hsu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720059769 PECOS PAC ID: 1759473614 Enrollment ID: I20070823000019 |
| Provider Name | Esperanza Papadopoulos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851362685 PECOS PAC ID: 0749372605 Enrollment ID: I20070823000031 |
| Provider Name | James W Young |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1427144625 PECOS PAC ID: 1658463526 Enrollment ID: I20070823000041 |
| Provider Name | Marcel Van Den Brink |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1336110063 PECOS PAC ID: 8628160595 Enrollment ID: I20070823000071 |
| Provider Name | Miguel a Perales |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1922079839 PECOS PAC ID: 8426140393 Enrollment ID: I20070823000093 |
| Provider Name | Ann a Jakubowski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467555342 PECOS PAC ID: 4385737345 Enrollment ID: I20070906000717 |
| Provider Name | Richard J Oreilly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518938075 PECOS PAC ID: 7719070788 Enrollment ID: I20070906000755 |
| Provider Name | Heather Landau |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689889578 PECOS PAC ID: 2062509458 Enrollment ID: I20071101000304 |
| Provider Name | Guenther Koehne |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679791818 PECOS PAC ID: 6204923485 Enrollment ID: I20071105000378 |
| Provider Name | Jasmine M Zain |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1043327075 PECOS PAC ID: 3274616834 Enrollment ID: I20080206000253 |
| Provider Name | Joseph B Narus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235343062 PECOS PAC ID: 5991871253 Enrollment ID: I20080910000350 |
| Provider Name | Darren R Feldman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750552055 PECOS PAC ID: 6204902323 Enrollment ID: I20080913000054 |
| Provider Name | Rachel a Conybeare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013188416 PECOS PAC ID: 2163599366 Enrollment ID: I20080929000726 |
| Provider Name | David J Chung |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568635530 PECOS PAC ID: 4486715588 Enrollment ID: I20081208000568 |
| Provider Name | Alexander M Lesokhin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790950863 PECOS PAC ID: 7416018528 Enrollment ID: I20081208000625 |
| Provider Name | Richard J Lin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952598898 PECOS PAC ID: 2365592789 Enrollment ID: I20090605000324 |
| Provider Name | Melissa a Barzola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043456536 PECOS PAC ID: 6002960820 Enrollment ID: I20090813000307 |
| Provider Name | Deborah E Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619146313 PECOS PAC ID: 1850446238 Enrollment ID: I20090909000090 |
| Provider Name | Nicole Lestrange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922232743 PECOS PAC ID: 9739225905 Enrollment ID: I20091002000073 |
| Provider Name | Craig S Sauter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447494612 PECOS PAC ID: 5294871919 Enrollment ID: I20091012000212 |
| Provider Name | Bernadette M Cuello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437311073 PECOS PAC ID: 4183761547 Enrollment ID: I20091017000053 |
| Provider Name | Karen Stellato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558527275 PECOS PAC ID: 8820132947 Enrollment ID: I20100212000353 |
| Provider Name | Jibran Majeed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255560215 PECOS PAC ID: 1951445998 Enrollment ID: I20100215000504 |
| Provider Name | Hani Hassoun |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285605220 PECOS PAC ID: 3779526025 Enrollment ID: I20100706000684 |
| Provider Name | Sandra Allen-bard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891882981 PECOS PAC ID: 4284766262 Enrollment ID: I20100712000279 |
| Provider Name | Rosina Katherine Rosario |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790861672 PECOS PAC ID: 6406980366 Enrollment ID: I20100813000264 |
| Provider Name | Doris M Ponce |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114192242 PECOS PAC ID: 5395879266 Enrollment ID: I20100813000430 |
| Provider Name | Ewa B Chauvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649474966 PECOS PAC ID: 5698961902 Enrollment ID: I20101129001026 |
| Provider Name | Sergio a Giralt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639278880 PECOS PAC ID: 2668653767 Enrollment ID: I20110223000103 |
| Provider Name | Shani N Irby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750690863 PECOS PAC ID: 1456536168 Enrollment ID: I20110422000262 |
| Provider Name | Catherine J Matthes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346549029 PECOS PAC ID: 2466630462 Enrollment ID: I20110622000081 |
| Provider Name | Yvette Murillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225363989 PECOS PAC ID: 6305024233 Enrollment ID: I20110624000153 |
| Provider Name | Abigail Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427356625 PECOS PAC ID: 5799954426 Enrollment ID: I20110812000586 |
| Provider Name | Marine Vinnikov |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285949644 PECOS PAC ID: 2769638329 Enrollment ID: I20120814000468 |
| Provider Name | Alan M Hanash |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1578729596 PECOS PAC ID: 9234385824 Enrollment ID: I20120815000025 |
| Provider Name | Oscar B Lahoud |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972731776 PECOS PAC ID: 4486801370 Enrollment ID: I20120828000803 |
| Provider Name | Lorraine Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326207267 PECOS PAC ID: 9638319759 Enrollment ID: I20130712000170 |
| Provider Name | Sheila a Kenny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588823918 PECOS PAC ID: 3779723705 Enrollment ID: I20130715000691 |
| Provider Name | Christina Russomanno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982983011 PECOS PAC ID: 3870734445 Enrollment ID: I20130724000188 |
| Provider Name | Samuel a Funt |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1922324193 PECOS PAC ID: 1456594027 Enrollment ID: I20130829000337 |
| Provider Name | Megan H Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033453634 PECOS PAC ID: 9931343753 Enrollment ID: I20130918000214 |
| Provider Name | Roni Tamari |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689861437 PECOS PAC ID: 5890929954 Enrollment ID: I20131004000126 |
| Provider Name | Amparo G Camacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003165374 PECOS PAC ID: 2769616614 Enrollment ID: I20131008000442 |
| Provider Name | Parastoo B Dahi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326235466 PECOS PAC ID: 4688804578 Enrollment ID: I20140219001754 |
| Provider Name | Brian C Shaffer |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1861674822 PECOS PAC ID: 1153551577 Enrollment ID: I20140305000416 |
| Provider Name | Courtney M Mcelrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114356474 PECOS PAC ID: 4981829652 Enrollment ID: I20140714001605 |
| Provider Name | Tara F Doga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740619451 PECOS PAC ID: 4385860394 Enrollment ID: I20140729000777 |
| Provider Name | Zulay E Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811144439 PECOS PAC ID: 9638395577 Enrollment ID: I20140729001900 |
| Provider Name | Karene Cime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548675671 PECOS PAC ID: 1355561085 Enrollment ID: I20141001001579 |
| Provider Name | Michelle Abboud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730596008 PECOS PAC ID: 1759604341 Enrollment ID: I20150107001115 |
| Provider Name | Susan Mccall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225331754 PECOS PAC ID: 9335463520 Enrollment ID: I20150116000976 |
| Provider Name | Madeline B Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346581816 PECOS PAC ID: 6406177419 Enrollment ID: I20150603000128 |
| Provider Name | Christina Kiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144624537 PECOS PAC ID: 7012228117 Enrollment ID: I20150616001538 |
| Provider Name | Jennifer S Gorelov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326449331 PECOS PAC ID: 8921314915 Enrollment ID: I20150908000559 |
| Provider Name | Meighan a Palazzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285949438 PECOS PAC ID: 7315179009 Enrollment ID: I20151105000539 |
| Provider Name | Jennat Z Mustafa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922475904 PECOS PAC ID: 5597066530 Enrollment ID: I20151217000568 |
| Provider Name | Naomi Cazeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609154756 PECOS PAC ID: 8426281569 Enrollment ID: I20160309001696 |
| Provider Name | Chelsea L Mintz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346618485 PECOS PAC ID: 3971800426 Enrollment ID: I20160328001633 |
| Provider Name | Allison J Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992188163 PECOS PAC ID: 7012214596 Enrollment ID: I20160329000031 |
| Provider Name | Natalie C Wolchasty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700287182 PECOS PAC ID: 7517264005 Enrollment ID: I20160329000641 |
| Provider Name | Lillian Rodich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609283340 PECOS PAC ID: 9638477623 Enrollment ID: I20160407000032 |
| Provider Name | Melissa a Cortes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639552326 PECOS PAC ID: 0143511824 Enrollment ID: I20160628001102 |
| Provider Name | Stacy L Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619210648 PECOS PAC ID: 7719273655 Enrollment ID: I20160901001501 |
| Provider Name | Jonathan U. Peled |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134440472 PECOS PAC ID: 4082875141 Enrollment ID: I20160902001022 |
| Provider Name | Angela Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972906576 PECOS PAC ID: 7113218348 Enrollment ID: I20160907001490 |
| Provider Name | Gunjan L Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053586263 PECOS PAC ID: 4284922899 Enrollment ID: I20161014001132 |
| Provider Name | Carter E Hibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538543285 PECOS PAC ID: 5698054054 Enrollment ID: I20161108001460 |
| Provider Name | Elaina V Preston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295005536 PECOS PAC ID: 1456519768 Enrollment ID: I20161123001556 |
| Provider Name | Jason Batalha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013468149 PECOS PAC ID: 4688958275 Enrollment ID: I20170227001647 |
| Provider Name | Phat X Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992172068 PECOS PAC ID: 6507141447 Enrollment ID: I20170316000970 |
| Provider Name | Stefanie L Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265861215 PECOS PAC ID: 3274758412 Enrollment ID: I20170428001336 |
| Provider Name | Dhwani Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720407174 PECOS PAC ID: 9739466129 Enrollment ID: I20170512001565 |
| Provider Name | Marci L Andrejko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417094491 PECOS PAC ID: 4385911866 Enrollment ID: I20170605002101 |
| Provider Name | Stephen M Macioch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679977136 PECOS PAC ID: 3274804265 Enrollment ID: I20170809003500 |
| Provider Name | Jeanok Youn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013464502 PECOS PAC ID: 1850664111 Enrollment ID: I20170907003106 |
| Provider Name | Scott E James |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326347576 PECOS PAC ID: 1254605066 Enrollment ID: I20170918002062 |
| Provider Name | Christina Cho |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457650814 PECOS PAC ID: 8921373804 Enrollment ID: I20171003004586 |
| Provider Name | Michael Scordo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003115700 PECOS PAC ID: 7012282973 Enrollment ID: I20171004000134 |
| Provider Name | Christianne C Supan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225448129 PECOS PAC ID: 7618194671 Enrollment ID: I20171025001078 |
| Provider Name | Ioannis Politikos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619203031 PECOS PAC ID: 4789940453 Enrollment ID: I20171113003037 |
| Provider Name | Caitlin M Treacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114441144 PECOS PAC ID: 3577821487 Enrollment ID: I20171226001706 |
| Provider Name | Dayna a Palumbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508236183 PECOS PAC ID: 9537427117 Enrollment ID: I20180103003209 |
| Provider Name | Julia Cereda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790204865 PECOS PAC ID: 2264794833 Enrollment ID: I20180319001421 |
| Provider Name | Lisa a Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790144475 PECOS PAC ID: 9234422007 Enrollment ID: I20180319001923 |
| Provider Name | Emily Hickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922402080 PECOS PAC ID: 1759684657 Enrollment ID: I20180405000842 |
| Provider Name | Mary H Riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952814097 PECOS PAC ID: 8628331311 Enrollment ID: I20180411000213 |
| Provider Name | Jennifer Marie Cardenas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477067338 PECOS PAC ID: 2163785585 Enrollment ID: I20180418001062 |
| Provider Name | Katherine Kan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669981064 PECOS PAC ID: 8426311739 Enrollment ID: I20180419002896 |
| Provider Name | Jamila N Brutus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437493673 PECOS PAC ID: 0042593592 Enrollment ID: I20180501002171 |
| Provider Name | Sheena Dacquel Lacsina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396136750 PECOS PAC ID: 8123304375 Enrollment ID: I20180503002105 |
| Provider Name | Erin C Frawley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942452149 PECOS PAC ID: 5193864023 Enrollment ID: I20180514001806 |
| Provider Name | Sara Bekele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205257128 PECOS PAC ID: 3274756713 Enrollment ID: I20180516000296 |
| Provider Name | Sharon Zhuo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528453818 PECOS PAC ID: 1850646167 Enrollment ID: I20180608001558 |
| Provider Name | Ashley Y Housen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356870380 PECOS PAC ID: 9335494541 Enrollment ID: I20180612000850 |
| Provider Name | Gina Abdulahad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174027064 PECOS PAC ID: 9234487083 Enrollment ID: I20180810000023 |
| Provider Name | Joanna Sanzone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144731191 PECOS PAC ID: 3870841646 Enrollment ID: I20180810000786 |
| Provider Name | Catherine a Featherstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356509889 PECOS PAC ID: 6204067531 Enrollment ID: I20180816001579 |
| Provider Name | Joanna M Iaboni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083968267 PECOS PAC ID: 8325261266 Enrollment ID: I20180817000435 |
| Provider Name | Kathleen E Cavalier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619283132 PECOS PAC ID: 0941432124 Enrollment ID: I20180817001489 |
| Provider Name | Patrice M Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992243836 PECOS PAC ID: 0446509483 Enrollment ID: I20180823002480 |
| Provider Name | Nancy Cruz Sitner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851630974 PECOS PAC ID: 0446476436 Enrollment ID: I20180829004234 |
| Provider Name | Meina Fung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649575085 PECOS PAC ID: 4688829849 Enrollment ID: I20180830003271 |
| Provider Name | Melissa Bassis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255630729 PECOS PAC ID: 0547483364 Enrollment ID: I20180907000239 |
| Provider Name | Caroll C Tipian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316337454 PECOS PAC ID: 2264739523 Enrollment ID: I20180911000017 |
| Provider Name | Rachel O Nebab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831395417 PECOS PAC ID: 2466702360 Enrollment ID: I20180913000986 |
| Provider Name | Theresa A. Elko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104216621 PECOS PAC ID: 4981902467 Enrollment ID: I20180918000415 |
| Provider Name | Jie Yi Zheng |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467837112 PECOS PAC ID: 7214201151 Enrollment ID: I20180918000777 |
| Provider Name | Kevin M Ohara |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235463522 PECOS PAC ID: 5698090371 Enrollment ID: I20180918000933 |
| Provider Name | Shelley N Levi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932575230 PECOS PAC ID: 8224323340 Enrollment ID: I20180918001233 |
| Provider Name | Fengxin Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104086990 PECOS PAC ID: 4880810167 Enrollment ID: I20180925003613 |
| Provider Name | Mary Montefusco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063671972 PECOS PAC ID: 7214155043 Enrollment ID: I20181019000438 |
| Provider Name | Deaglan J Mchugh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1134678451 PECOS PAC ID: 8628321510 Enrollment ID: I20181023000793 |
| Provider Name | Beena B Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205287430 PECOS PAC ID: 8921351834 Enrollment ID: I20181023001679 |
| Provider Name | Lauren N Drosick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891244117 PECOS PAC ID: 1759625288 Enrollment ID: I20181210002567 |
| Provider Name | Jessica Chao |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225554389 PECOS PAC ID: 6709120272 Enrollment ID: I20181211000544 |
| Provider Name | Mary Reilly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104277896 PECOS PAC ID: 4880938356 Enrollment ID: I20181211000601 |
| Provider Name | Alexandra Kaiser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811287568 PECOS PAC ID: 1153666490 Enrollment ID: I20181214001710 |
| Provider Name | Kathleen Pormento |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306213343 PECOS PAC ID: 4587909155 Enrollment ID: I20181231001119 |
| Provider Name | Gagandeep K Raju |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700263597 PECOS PAC ID: 3072859537 Enrollment ID: I20190104001300 |
| Provider Name | Zlata Golubitskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427324748 PECOS PAC ID: 6901196443 Enrollment ID: I20190125000756 |
| Provider Name | Lauren M Cruthers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639503089 PECOS PAC ID: 0941528665 Enrollment ID: I20190222002521 |
| Provider Name | Carolyn Anne Salter |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134472798 PECOS PAC ID: 3274771050 Enrollment ID: I20190226000739 |
| Provider Name | Justina a Kiernan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831448760 PECOS PAC ID: 7214220805 Enrollment ID: I20190308002274 |
| Provider Name | Kathryn G Mazzarella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922522929 PECOS PAC ID: 8921373846 Enrollment ID: I20190328002353 |
| Provider Name | Diana Velez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891294393 PECOS PAC ID: 7810237856 Enrollment ID: I20190328002938 |
| Provider Name | Melanie Melendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992289235 PECOS PAC ID: 1658612403 Enrollment ID: I20190404002470 |
| Provider Name | Ashley T Ames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447721337 PECOS PAC ID: 9638410301 Enrollment ID: I20190405000640 |
| Provider Name | Julia S Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407375561 PECOS PAC ID: 8123389657 Enrollment ID: I20190424003045 |
| Provider Name | Kate Ann Markey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174088298 PECOS PAC ID: 1759623275 Enrollment ID: I20190509002216 |
| Provider Name | Katherine J Nagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629484860 PECOS PAC ID: 8426349036 Enrollment ID: I20190822003299 |
| Provider Name | Suhavi K Tucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497119051 PECOS PAC ID: 9638423130 Enrollment ID: I20190823002279 |
| Provider Name | Tina Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164952297 PECOS PAC ID: 7618205857 Enrollment ID: I20190826001544 |
| Provider Name | Brittany a Hudgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457721797 PECOS PAC ID: 9436453131 Enrollment ID: I20190904002192 |
| Provider Name | Karen J Ma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306293246 PECOS PAC ID: 1254661861 Enrollment ID: I20190925000768 |
| Provider Name | Arnab Ghosh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144562935 PECOS PAC ID: 1951631589 Enrollment ID: I20190925001332 |
| Provider Name | Rebecca R Goldberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912562307 PECOS PAC ID: 6608106240 Enrollment ID: I20190925001724 |
| Provider Name | Kira T James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265990006 PECOS PAC ID: 9032441233 Enrollment ID: I20191021001828 |
| Provider Name | Melissa Churak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598325615 PECOS PAC ID: 6507298809 Enrollment ID: I20191106003197 |
| Provider Name | Karen K Marriott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598318594 PECOS PAC ID: 7214369552 Enrollment ID: I20191107001145 |
| Provider Name | Nicole Varuzza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851945950 PECOS PAC ID: 0143652578 Enrollment ID: I20191122001811 |
| Provider Name | Joie S Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407110232 PECOS PAC ID: 8921341678 Enrollment ID: I20191127001829 |
| Provider Name | Lauren Levy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912416025 PECOS PAC ID: 3274967153 Enrollment ID: I20191231001372 |
| Provider Name | Heidi H.M. Samuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902453566 PECOS PAC ID: 3678907565 Enrollment ID: I20191231001667 |
| Provider Name | Victor K Huwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437704343 PECOS PAC ID: 7012343742 Enrollment ID: I20200128002880 |
| Provider Name | Joseph J Milos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639712011 PECOS PAC ID: 8123456910 Enrollment ID: I20200309002331 |
| Provider Name | Gretchen L Coombs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164065124 PECOS PAC ID: 0840628251 Enrollment ID: I20200318002005 |
| Provider Name | Mary Pribor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558907139 PECOS PAC ID: 3779912472 Enrollment ID: I20200401000413 |
| Provider Name | Isabel F Concepcion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073159612 PECOS PAC ID: 4082043278 Enrollment ID: I20200409002495 |
| Provider Name | William J Kelty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386142032 PECOS PAC ID: 8527322049 Enrollment ID: I20200515002143 |
| Provider Name | Minru Hwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396267043 PECOS PAC ID: 7618390840 Enrollment ID: I20200707002353 |
| Provider Name | Kathryn M Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851523278 PECOS PAC ID: 0648450445 Enrollment ID: I20200707002642 |
| Provider Name | Nicole a Lieber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023532371 PECOS PAC ID: 1052673332 Enrollment ID: I20201009000717 |
| Provider Name | Rezana S Mara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295264570 PECOS PAC ID: 2668719832 Enrollment ID: I20201014001412 |
| Provider Name | Thomas C Lam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609416213 PECOS PAC ID: 4981024528 Enrollment ID: I20201020001160 |
| Provider Name | Samuel F Freedman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649701707 PECOS PAC ID: 0749527745 Enrollment ID: I20201022000787 |
| Provider Name | Andrew M Yaeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952834293 PECOS PAC ID: 1850711284 Enrollment ID: I20201023000267 |
| Provider Name | Henry Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265947972 PECOS PAC ID: 5193137297 Enrollment ID: I20201215000204 |
| Provider Name | Megan Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083261911 PECOS PAC ID: 1153733001 Enrollment ID: I20201217000326 |
| Provider Name | Meira Friedman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518590330 PECOS PAC ID: 2163834912 Enrollment ID: I20201218002003 |
| Provider Name | Lauren M Thayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699217851 PECOS PAC ID: 5890054209 Enrollment ID: I20210112000797 |
| Provider Name | Alicia Assini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700314820 PECOS PAC ID: 0941613897 Enrollment ID: I20210113002593 |
| Provider Name | Jamie B Plevy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811589922 PECOS PAC ID: 2365859667 Enrollment ID: I20210405000828 |
| Provider Name | Jenna P Wenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952854283 PECOS PAC ID: 6800175597 Enrollment ID: I20210406000730 |
| Provider Name | Audra I Bacigalupo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558946160 PECOS PAC ID: 2466852553 Enrollment ID: I20210610002496 |
| Provider Name | Cassidy L Scharff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124644331 PECOS PAC ID: 4688078157 Enrollment ID: I20210805000135 |
| Provider Name | Jenna N Coluccio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982178554 PECOS PAC ID: 4284976234 Enrollment ID: I20210810002944 |
| Provider Name | Victoria G Gore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699263442 PECOS PAC ID: 2769720242 Enrollment ID: I20210901002490 |
| Provider Name | Fatimah Rimawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881181766 PECOS PAC ID: 2466858170 Enrollment ID: I20210903001989 |
| Provider Name | Karlo Perica |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902221302 PECOS PAC ID: 0143549600 Enrollment ID: I20210916002766 |
| Provider Name | Roni Shouval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477027662 PECOS PAC ID: 6103214945 Enrollment ID: I20211027000930 |
| Provider Name | Jacquelyn M Donohue |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386317824 PECOS PAC ID: 4082003256 Enrollment ID: I20211109000784 |
| Provider Name | Amara M Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790355048 PECOS PAC ID: 6709275985 Enrollment ID: I20211109001499 |
| Provider Name | Katherine Sturm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861063620 PECOS PAC ID: 9335538453 Enrollment ID: I20211111001046 |
| Provider Name | Lucia Chiu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225705411 PECOS PAC ID: 0446640320 Enrollment ID: I20211208001906 |
| Provider Name | Morgan E Snover |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447921150 PECOS PAC ID: 2668864984 Enrollment ID: I20220119000935 |
| Provider Name | Edidiong O Njoku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528657061 PECOS PAC ID: 5991197188 Enrollment ID: I20220120001479 |
| Provider Name | Herolinda Cuca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447847199 PECOS PAC ID: 0840683017 Enrollment ID: I20220210001862 |
| Provider Name | Michelle Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033871397 PECOS PAC ID: 7911392428 Enrollment ID: I20220321000887 |
| Provider Name | Dao B Ho |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154083632 PECOS PAC ID: 2163819244 Enrollment ID: I20220419001627 |
| Provider Name | Julia P Lorenzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962162321 PECOS PAC ID: 1759778848 Enrollment ID: I20220419002536 |
| Provider Name | Kristin Leigh Drummond |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851894190 PECOS PAC ID: 9133506538 Enrollment ID: I20220524000356 |
| Provider Name | Karolina Matulewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275298655 PECOS PAC ID: 0648652552 Enrollment ID: I20220809000493 |
| Provider Name | Kavia Gupta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619621273 PECOS PAC ID: 8325420268 Enrollment ID: I20220809001725 |
| Provider Name | Ashley Steinberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780327759 PECOS PAC ID: 5597141416 Enrollment ID: I20220929003565 |
| Provider Name | Jose Miguel Flores Martinez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548728058 PECOS PAC ID: 6305176033 Enrollment ID: I20221024002430 |
| Provider Name | Amelia Karlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578208286 PECOS PAC ID: 1951779420 Enrollment ID: I20221115002103 |
| Provider Name | Alana R Siev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811459639 PECOS PAC ID: 9638547466 Enrollment ID: I20221128002594 |
| Provider Name | Meghan C Thompson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1932561081 PECOS PAC ID: 5799151114 Enrollment ID: I20221129003145 |
| Provider Name | Johanne Blount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295346542 PECOS PAC ID: 5193193803 Enrollment ID: I20221130000051 |
| Provider Name | Matthew Whalen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649892563 PECOS PAC ID: 9234507971 Enrollment ID: I20221130001110 |
| Provider Name | Penina P Ben-yosef |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275263667 PECOS PAC ID: 3173994605 Enrollment ID: I20230120001225 |
| Provider Name | Sarah Bleicher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881213346 PECOS PAC ID: 9436568037 Enrollment ID: I20230124000672 |
| Provider Name | Prioty Islam |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1386039402 PECOS PAC ID: 6103228267 Enrollment ID: I20230127000443 |
| Provider Name | Daniella Saghian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821721986 PECOS PAC ID: 4880066760 Enrollment ID: I20230203000009 |
| Provider Name | Felita Salim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891423745 PECOS PAC ID: 8325410202 Enrollment ID: I20230203000020 |
| Provider Name | Rochelle Wang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790314573 PECOS PAC ID: 7719391960 Enrollment ID: I20230203000553 |
| Provider Name | Cailee L Kashdin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881299030 PECOS PAC ID: 2668885245 Enrollment ID: I20230301002219 |
| Provider Name | Meghan Kathleen Mcauliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184990699 PECOS PAC ID: 8628230703 Enrollment ID: I20230302001203 |
| Provider Name | Roshni K Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184342685 PECOS PAC ID: 3375916836 Enrollment ID: I20230302002301 |
| Provider Name | June Song |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538684923 PECOS PAC ID: 7618238825 Enrollment ID: I20230302002824 |
| Provider Name | Yuliya K Ziemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275199598 PECOS PAC ID: 6901137629 Enrollment ID: I20230303001255 |
| Provider Name | Michelle C Carrillo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164143244 PECOS PAC ID: 3870966997 Enrollment ID: I20230310000046 |
| Provider Name | Bibi Mohamed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487300661 PECOS PAC ID: 5698149524 Enrollment ID: I20230316001004 |
| Provider Name | Irene Petrocelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053039701 PECOS PAC ID: 8325412281 Enrollment ID: I20230316002008 |
| Provider Name | Kelsey P Stocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750006375 PECOS PAC ID: 0648644427 Enrollment ID: I20230317000302 |
| Provider Name | Jeffrey I Zwicker |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851330849 PECOS PAC ID: 4981675311 Enrollment ID: I20230322000122 |
| Provider Name | Meghan Neubauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649732744 PECOS PAC ID: 8022340520 Enrollment ID: I20230420001825 |
| Provider Name | Joseph a Chiaramida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629777131 PECOS PAC ID: 1254790140 Enrollment ID: I20230711000788 |
| Provider Name | Susanne O'rourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477267359 PECOS PAC ID: 2062872435 Enrollment ID: I20230717002324 |
| Provider Name | Moneeza Walji |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1164192191 PECOS PAC ID: 3375905235 Enrollment ID: I20230810000066 |
| Provider Name | Alexander Boardman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1588194286 PECOS PAC ID: 5597015479 Enrollment ID: I20230821000966 |
| Provider Name | Kyle R Guillory |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558924092 PECOS PAC ID: 3678807435 Enrollment ID: I20230824002022 |
| Provider Name | Varun K Narendra |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275066177 PECOS PAC ID: 0749643633 Enrollment ID: I20230824003314 |
| Provider Name | Robert N Stuver |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568990117 PECOS PAC ID: 6305118555 Enrollment ID: I20230829000193 |
| Provider Name | Sridevi Rajeeve |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1154843944 PECOS PAC ID: 7719228055 Enrollment ID: I20230831000414 |
| Provider Name | Danielle M Cassel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093357410 PECOS PAC ID: 4587018551 Enrollment ID: I20230925001829 |
| Provider Name | Kelli C Chew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659050011 PECOS PAC ID: 3274987219 Enrollment ID: I20230926001145 |
| Provider Name | Luisa F Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417638495 PECOS PAC ID: 0446606263 Enrollment ID: I20231030002367 |
| Provider Name | Sandeep S Raj |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194258111 PECOS PAC ID: 8527345701 Enrollment ID: I20231031000885 |
| Provider Name | Christine M Pfeifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861173957 PECOS PAC ID: 7911354170 Enrollment ID: I20231109000269 |
| Provider Name | Valerye N Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386328656 PECOS PAC ID: 4284081399 Enrollment ID: I20231111000247 |
| Provider Name | Nhani Phuc Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730869041 PECOS PAC ID: 7719334820 Enrollment ID: I20231111000288 |
| Provider Name | Angela B Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619650819 PECOS PAC ID: 5193172070 Enrollment ID: I20231115000077 |
| Provider Name | Justine N Felicia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578348959 PECOS PAC ID: 8628425436 Enrollment ID: I20231115001507 |
| Provider Name | Avi Phillip Sendzul Leader |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1992584791 PECOS PAC ID: 9234581315 Enrollment ID: I20240115001451 |
| Provider Name | Hamza Hashmi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164862652 PECOS PAC ID: 5991934499 Enrollment ID: I20240220003385 |
| Provider Name | Naveed Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730717661 PECOS PAC ID: 4789028408 Enrollment ID: I20240221000396 |
| Provider Name | Veronica Mcgorry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710767850 PECOS PAC ID: 6507202991 Enrollment ID: I20240307002307 |
| Provider Name | Caroline D Srikumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295506079 PECOS PAC ID: 6800233545 Enrollment ID: I20240318002054 |
| Provider Name | Majerry M Philius |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881208320 PECOS PAC ID: 2163818790 Enrollment ID: I20240318002593 |
| Provider Name | Conor W Buckley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598388464 PECOS PAC ID: 7012311103 Enrollment ID: I20240322003552 |
| Provider Name | Cheryl Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932961174 PECOS PAC ID: 5092152165 Enrollment ID: I20240325002715 |
| Provider Name | Bo Young Jang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881458214 PECOS PAC ID: 1951748045 Enrollment ID: I20240325003349 |
| Provider Name | Colleen M Perrotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801658000 PECOS PAC ID: 3375980378 Enrollment ID: I20240326003872 |
| Provider Name | Craig M Londregan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558127894 PECOS PAC ID: 3678912227 Enrollment ID: I20240416002956 |
| Provider Name | Christine a Kelleher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104682285 PECOS PAC ID: 2264874437 Enrollment ID: I20240521000725 |
| Provider Name | Lisa M Sarmasti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952172348 PECOS PAC ID: 8123560604 Enrollment ID: I20240612001419 |
| Provider Name | Xiaodi Wu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1629572318 PECOS PAC ID: 5890033914 Enrollment ID: I20240726002375 |
| Provider Name | Robert F Stanley |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1447755665 PECOS PAC ID: 0244578904 Enrollment ID: I20240801000455 |
| Provider Name | Efrat Luttwak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104552223 PECOS PAC ID: 4486191566 Enrollment ID: I20240807001231 |
| Provider Name | Daniel R Zetter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710542675 PECOS PAC ID: 1052858149 Enrollment ID: I20240807001512 |
| Provider Name | Rebecca D Spicehandler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720664378 PECOS PAC ID: 1254878358 Enrollment ID: I20240807002395 |
| Provider Name | Mia Szkolnicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457106767 PECOS PAC ID: 3870032956 Enrollment ID: I20240903004026 |
| Provider Name | Brian J Chernak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659877330 PECOS PAC ID: 7416295019 Enrollment ID: I20240909001009 |
| Provider Name | Xin Wang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477058386 PECOS PAC ID: 2365791902 Enrollment ID: I20240909001584 |
| Provider Name | James J Yoon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669903548 PECOS PAC ID: 2163792912 Enrollment ID: I20240909002080 |
| Provider Name | Allyson M Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386499473 PECOS PAC ID: 5698215366 Enrollment ID: I20240909002369 |
| Provider Name | Brittany P Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750121265 PECOS PAC ID: 6103366885 Enrollment ID: I20240909002508 |
| Provider Name | Elisabetta Todari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174392674 PECOS PAC ID: 0648710327 Enrollment ID: I20240909002518 |
| Provider Name | Linh K Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194570804 PECOS PAC ID: 3274074117 Enrollment ID: I20240919001295 |
| Provider Name | Marlon J Brewer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437738218 PECOS PAC ID: 0840731634 Enrollment ID: I20240919003402 |
| Provider Name | Jennifer J Tsai |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1386133445 PECOS PAC ID: 1759822430 Enrollment ID: I20240920003074 |
| Provider Name | Zoey Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427892272 PECOS PAC ID: 2567994411 Enrollment ID: I20241016002349 |
| Provider Name | Charlotte E Patten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871177063 PECOS PAC ID: 8426580382 Enrollment ID: I20241016002629 |
| Provider Name | Laura C Kiersz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932946316 PECOS PAC ID: 0941732838 Enrollment ID: I20241016003703 |
| Provider Name | Lauren G Banaszak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598291742 PECOS PAC ID: 7911277033 Enrollment ID: I20241017000037 |
| Provider Name | Mohammad S Alhomoud |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295220754 PECOS PAC ID: 8123550050 Enrollment ID: I20241017000473 |
| Provider Name | Charlotte FM Hughes |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1578325296 PECOS PAC ID: 6608309901 Enrollment ID: I20241024003750 |
| Provider Name | Leanne T Robbins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750062345 PECOS PAC ID: 8729511084 Enrollment ID: I20241025001666 |
| Provider Name | Toshihisa Satta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144637786 PECOS PAC ID: 6507278611 Enrollment ID: I20241101001201 |
| Provider Name | Olivia R Ciolfi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033949003 PECOS PAC ID: 6305370107 Enrollment ID: I20241115003390 |
| Provider Name | Edina Djokic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508636192 PECOS PAC ID: 5092249896 Enrollment ID: I20241115003580 |
| Provider Name | Jennifer L Defaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306675194 PECOS PAC ID: 5698209377 Enrollment ID: I20241118002046 |
| Provider Name | Sukhbir Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356804843 PECOS PAC ID: 5991036261 Enrollment ID: I20241118003878 |
| Provider Name | Javonne Michael Morrison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659089290 PECOS PAC ID: 0941646665 Enrollment ID: I20241125002895 |
| Provider Name | Lisa Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134958952 PECOS PAC ID: 4486181120 Enrollment ID: I20241219002267 |
| Provider Name | Hannah Margaret Samley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235810482 PECOS PAC ID: 2365891785 Enrollment ID: I20241219002465 |
| Provider Name | Michelle F Thorpe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376257469 PECOS PAC ID: 9335689694 Enrollment ID: I20250106003656 |
| Provider Name | Emily S Seltzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629654181 PECOS PAC ID: 5890199087 Enrollment ID: I20250124002370 |
| Provider Name | Nedrick N Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881337954 PECOS PAC ID: 6204365943 Enrollment ID: I20250127000231 |
| Provider Name | Zohaib a Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730766197 PECOS PAC ID: 0840729497 Enrollment ID: I20250127000946 |
| Provider Name | Stephanie C Gergoudis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558948489 PECOS PAC ID: 8325577703 Enrollment ID: I20250130000931 |
| Provider Name | Ivan Patrick Maillard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568403269 PECOS PAC ID: 5395776041 Enrollment ID: I20250130002386 |
| Provider Name | Maximilian Merz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689480196 PECOS PAC ID: 6406376649 Enrollment ID: I20250219000393 |
| Provider Name | Francesco Maura |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407571763 PECOS PAC ID: 6608244736 Enrollment ID: I20250306001124 |
| Provider Name | Fionna Du |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891500898 PECOS PAC ID: 8729500830 Enrollment ID: I20250318003392 |
| Provider Name | Anne E Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124530720 PECOS PAC ID: 6406115765 Enrollment ID: I20250428000058 |
| Provider Name | Mary K O'sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699389494 PECOS PAC ID: 1850758418 Enrollment ID: I20250514001110 |
| Provider Name | Emily a Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194523290 PECOS PAC ID: 8628589058 Enrollment ID: I20250613000786 |
| Provider Name | Kuo-kai Chin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437610037 PECOS PAC ID: 8224443486 Enrollment ID: I20250707000405 |
| Provider Name | Daniel Kim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023302833 PECOS PAC ID: 0840566832 Enrollment ID: I20250707001278 |
| Provider Name | Michael V Gormally |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710543376 PECOS PAC ID: 6901130830 Enrollment ID: I20250723001385 |
| Provider Name | Eric M Jurgens |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023571478 PECOS PAC ID: 6204164890 Enrollment ID: I20250828004105 |
| Provider Name | Elisabetta Xue |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1942988225 PECOS PAC ID: 9436652815 Enrollment ID: I20250911003064 |
| Provider Name | Ioannis Kalogirou Valtis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023508488 PECOS PAC ID: 3072861350 Enrollment ID: I20250918000023 |
| Provider Name | Quinlan L Sievers |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700346897 PECOS PAC ID: 4486063815 Enrollment ID: I20251007002563 |
| Provider Name | Meira Yisraeli Salman |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1215629514 PECOS PAC ID: 7315437233 Enrollment ID: I20251107002808 |
| Provider Name | Ningxi Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033004387 PECOS PAC ID: 2567952419 Enrollment ID: I20251107003606 |
| Provider Name | Irene Hwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508758426 PECOS PAC ID: 9638669500 Enrollment ID: I20251107003900 |
| Provider Name | Jillian R Estrada |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285599357 PECOS PAC ID: 7416422811 Enrollment ID: I20260428000284 |
| Provider Name | Tiffany M Villamarin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477265635 PECOS PAC ID: 1355716390 Enrollment ID: I20260528001766 |
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