| Nymc- School Of Medicine Faculty Practice Corporation | |
|
19 Skyline Dr Hawthorne NY 10532-2134 | |
| (914) 828-0435 | |
| (914) 594-2261 |
| Full Name | Nymc- School Of Medicine Faculty Practice Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 19 Skyline Dr, Hawthorne, New York |
| Authorized Official Name and Position | Edward Halperin (CHANCELLOR/CEO) |
| Authorized Official Contact | 9145944900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nymc- School Of Medicine Faculty Practice Corporation 40 Sunshine Cottage Rd Department Of Family & Community Medicine Valhalla NY 10595 Ph: (914) 594-2260 | Nymc- School Of Medicine Faculty Practice Corporation 19 Skyline Dr Hawthorne NY 10532-2134 Ph: (914) 828-0435 |
| NPI Number | 1689239105 |
|---|---|
| Provider Enumeration Date | 05/09/2019 |
| Last Update Date | 05/09/2019 |
| Medicare PECOS PAC ID | 9931505138 |
|---|---|
| Medicare Enrollment ID | O20210914002430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689239105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lori Anne Solomon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982679353 PECOS PAC ID: 0345342218 Enrollment ID: I20070223000057 |
| Provider Name | Aleena Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336501329 PECOS PAC ID: 9133411275 Enrollment ID: I20200925000071 |
| Provider Name | Alexandra Schieber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235578303 PECOS PAC ID: 6002103652 Enrollment ID: I20210914002757 |
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