| Premier Medical Group Of The Hudson Valley P.c. | |
|
50 Eastdale Ave N Poughkeepsie NY 12603-1694 | |
| (845) 437-5000 | |
| Not Available |
| Full Name | Premier Medical Group Of The Hudson Valley P.c. |
|---|---|
| Speciality | Urology |
| Location | 50 Eastdale Ave N, Poughkeepsie, New York |
| Authorized Official Name and Position | John Murphy (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 8454719410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Medical Group Of The Hudson Valley P.c. 82 Washington St Ste 100 Poughkeepsie NY 12601-2305 Ph: (845) 471-9410 | Premier Medical Group Of The Hudson Valley P.c. 50 Eastdale Ave N Poughkeepsie NY 12603-1694 Ph: (845) 437-5000 |
| NPI Number | 1255437166 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 05/03/2022 |
| Medicare PECOS PAC ID | 3072575109 |
|---|---|
| Medicare Enrollment ID | O20070301000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255437166 | NPI | - | NPPES |
| Provider Name | Dimitrios Papadopoulos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013996404 PECOS PAC ID: 9436054921 Enrollment ID: I20031208000110 |
| Provider Name | Mehul P Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467449595 PECOS PAC ID: 1951209832 Enrollment ID: I20031230000316 |
| Provider Name | Michael J Gaesser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568461713 PECOS PAC ID: 2567350853 Enrollment ID: I20040309001328 |
| Provider Name | Thomas F Keane |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235123571 PECOS PAC ID: 0042204349 Enrollment ID: I20040410000108 |
| Provider Name | Michael Young |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902889330 PECOS PAC ID: 2567453301 Enrollment ID: I20040520001121 |
| Provider Name | Diana Santiago |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568469690 PECOS PAC ID: 6406756196 Enrollment ID: I20040714001624 |
| Provider Name | Camilo G Torres |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285613539 PECOS PAC ID: 9335119619 Enrollment ID: I20040727000158 |
| Provider Name | Robert S Dean |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326042011 PECOS PAC ID: 7719957133 Enrollment ID: I20040730001003 |
| Provider Name | Christopher X Arroyo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669407482 PECOS PAC ID: 5890767909 Enrollment ID: I20040810000343 |
| Provider Name | Frederick Gutt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720085301 PECOS PAC ID: 9032187935 Enrollment ID: I20040920000189 |
| Provider Name | Raymond M Kruk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386639532 PECOS PAC ID: 8527036433 Enrollment ID: I20040920000225 |
| Provider Name | Patrick Chery |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154328730 PECOS PAC ID: 8022086941 Enrollment ID: I20040920000258 |
| Provider Name | Mohamed Elmousely |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487651063 PECOS PAC ID: 0143298943 Enrollment ID: I20040920000910 |
| Provider Name | Misha N Kucherov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821158163 PECOS PAC ID: 2365406006 Enrollment ID: I20041112000983 |
| Provider Name | Audra Rochelle Siegel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538163290 PECOS PAC ID: 9739144163 Enrollment ID: I20041126000005 |
| Provider Name | Khurram I Ashraf |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811991508 PECOS PAC ID: 0244298362 Enrollment ID: I20041221000637 |
| Provider Name | Naeem Rahman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366536245 PECOS PAC ID: 9537127592 Enrollment ID: I20041222000644 |
| Provider Name | David Franklin Wogalter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093852568 PECOS PAC ID: 1951369370 Enrollment ID: I20041230000519 |
| Provider Name | Edward M Farhangi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255310751 PECOS PAC ID: 7719935493 Enrollment ID: I20050110000510 |
| Provider Name | Chithranjan Nath |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053456855 PECOS PAC ID: 2668421413 Enrollment ID: I20050121000235 |
| Provider Name | Farah Ashraf |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134123839 PECOS PAC ID: 2365492295 Enrollment ID: I20050127000756 |
| Provider Name | Donald Louie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548261175 PECOS PAC ID: 1850341744 Enrollment ID: I20050128000021 |
| Provider Name | Sunil K Khurana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720082407 PECOS PAC ID: 4981656956 Enrollment ID: I20050217000755 |
| Provider Name | Christopher Bromley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710926340 PECOS PAC ID: 0941236624 Enrollment ID: I20050713001130 |
| Provider Name | Florence Summers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396784849 PECOS PAC ID: 1850321506 Enrollment ID: I20050812000857 |
| Provider Name | Robert Impastato |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144227224 PECOS PAC ID: 3870524242 Enrollment ID: I20050825000320 |
| Provider Name | Alfredo Santi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144227232 PECOS PAC ID: 2769409218 Enrollment ID: I20051025000212 |
| Provider Name | Chinyere E Ofonagoro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477518231 PECOS PAC ID: 4183646953 Enrollment ID: I20051221000141 |
| Provider Name | David S Cho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033103445 PECOS PAC ID: 5698789568 Enrollment ID: I20060130000919 |
| Provider Name | Madhavi Gaddam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932193653 PECOS PAC ID: 0840205878 Enrollment ID: I20060213000708 |
| Provider Name | Nirav D Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023083607 PECOS PAC ID: 3870501901 Enrollment ID: I20060330000375 |
| Provider Name | Iriney Gutnikevich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083679195 PECOS PAC ID: 2062422744 Enrollment ID: I20060425000659 |
| Provider Name | Arif Muslim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053534578 PECOS PAC ID: 0749290328 Enrollment ID: I20060426000782 |
| Provider Name | Munir A Shikari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477540672 PECOS PAC ID: 5395644496 Enrollment ID: I20060608000070 |
| Provider Name | Steven Guon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649215484 PECOS PAC ID: 0143232314 Enrollment ID: I20060707000202 |
| Provider Name | Robert James Campbell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841206711 PECOS PAC ID: 7810990892 Enrollment ID: I20060811000132 |
| Provider Name | Dany Y Jabbour |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528073822 PECOS PAC ID: 8022011840 Enrollment ID: I20060817000259 |
| Provider Name | Farah Toyserkani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821087362 PECOS PAC ID: 3072615426 Enrollment ID: I20070303000034 |
| Provider Name | Daniel M Katz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104910082 PECOS PAC ID: 8123121431 Enrollment ID: I20070404000446 |
| Provider Name | Scott Kahn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326144387 PECOS PAC ID: 3375646672 Enrollment ID: I20070406000208 |
| Provider Name | Jason Krumholtz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275627150 PECOS PAC ID: 0749383032 Enrollment ID: I20070423000259 |
| Provider Name | Paul Pietrow |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982709945 PECOS PAC ID: 5193828499 Enrollment ID: I20070424000566 |
| Provider Name | Evan Goldfischer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639274699 PECOS PAC ID: 5294838587 Enrollment ID: I20070505000118 |
| Provider Name | Michael Solliday |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285739235 PECOS PAC ID: 9830292127 Enrollment ID: I20070509000594 |
| Provider Name | Kunjan Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336360965 PECOS PAC ID: 8820195936 Enrollment ID: I20070524000708 |
| Provider Name | Sunhee D Woo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437293479 PECOS PAC ID: 7517946668 Enrollment ID: I20070730000081 |
| Provider Name | Evelyn Lindsay-santi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942353305 PECOS PAC ID: 8628160843 Enrollment ID: I20070822000638 |
| Provider Name | Elpidio D Jimenez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649279712 PECOS PAC ID: 4486747318 Enrollment ID: I20070907000507 |
| Provider Name | Kirsten A Laux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164645016 PECOS PAC ID: 6305938796 Enrollment ID: I20070908000017 |
| Provider Name | Mark D Weibman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497725915 PECOS PAC ID: 7315032786 Enrollment ID: I20070929000076 |
| Provider Name | Dessislava Iliev |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982762845 PECOS PAC ID: 5890753453 Enrollment ID: I20071108000686 |
| Provider Name | Martin A Davidson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184633133 PECOS PAC ID: 7012979719 Enrollment ID: I20071119000386 |
| Provider Name | Sindhu Sandesh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053305987 PECOS PAC ID: 9931278801 Enrollment ID: I20080519000204 |
| Provider Name | Frank C Pedevillano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821181504 PECOS PAC ID: 8729157540 Enrollment ID: I20080520000631 |
| Provider Name | Salvatore M Buffa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346244027 PECOS PAC ID: 6709957293 Enrollment ID: I20080610000803 |
| Provider Name | Peter M Varunok |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598769283 PECOS PAC ID: 4587735071 Enrollment ID: I20080610000829 |
| Provider Name | Tamer N R Sargios |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376520700 PECOS PAC ID: 2769471671 Enrollment ID: I20080807000579 |
| Provider Name | Vani Venkataramanappa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326209156 PECOS PAC ID: 1456419001 Enrollment ID: I20081025000123 |
| Provider Name | Cesar T Villaflor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447368246 PECOS PAC ID: 9537229687 Enrollment ID: I20081119000046 |
| Provider Name | Lawrence A Zolnik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154416113 PECOS PAC ID: 7315048972 Enrollment ID: I20090310000074 |
| Provider Name | Donna Jean Kasello |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902876535 PECOS PAC ID: 7214084243 Enrollment ID: I20090409000102 |
| Provider Name | Robert C Parajon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053382838 PECOS PAC ID: 4385793587 Enrollment ID: I20090519000007 |
| Provider Name | Steven A Rogovic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669632261 PECOS PAC ID: 2163574526 Enrollment ID: I20090715000451 |
| Provider Name | William E Field |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992797419 PECOS PAC ID: 3375514490 Enrollment ID: I20091117000508 |
| Provider Name | Davide M Debellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871512202 PECOS PAC ID: 5294860540 Enrollment ID: I20100312000018 |
| Provider Name | Alan H Gross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194745869 PECOS PAC ID: 3072691393 Enrollment ID: I20100312000026 |
| Provider Name | Lorraine J Nardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417972878 PECOS PAC ID: 4082508437 Enrollment ID: I20100315000333 |
| Provider Name | Vladimir Pryjdun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992881569 PECOS PAC ID: 6901908771 Enrollment ID: I20100716000207 |
| Provider Name | Kevin Suk Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659525244 PECOS PAC ID: 6709910490 Enrollment ID: I20100817000861 |
| Provider Name | Elliot M Levine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669465233 PECOS PAC ID: 9335151455 Enrollment ID: I20100917000028 |
| Provider Name | Farshad Elmi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477535797 PECOS PAC ID: 2961554571 Enrollment ID: I20101109001143 |
| Provider Name | Lori R Brown-halbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669466389 PECOS PAC ID: 9335336155 Enrollment ID: I20101206001200 |
| Provider Name | Paul Alan Pomerantz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770676595 PECOS PAC ID: 0648363747 Enrollment ID: I20110126000189 |
| Provider Name | Carl Jeffrey Comuniello |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972596393 PECOS PAC ID: 6800077553 Enrollment ID: I20110301000177 |
| Provider Name | Anita V Pavels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093873291 PECOS PAC ID: 1850574799 Enrollment ID: I20110330000474 |
| Provider Name | Walter R Parker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124144498 PECOS PAC ID: 3870763352 Enrollment ID: I20110822000048 |
| Provider Name | Frances H Traver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720367238 PECOS PAC ID: 6800067398 Enrollment ID: I20110913000509 |
| Provider Name | William Neil Ambrosini |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881662898 PECOS PAC ID: 5698947141 Enrollment ID: I20111006000044 |
| Provider Name | Sharon Wu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588769038 PECOS PAC ID: 4183896244 Enrollment ID: I20111013000510 |
| Provider Name | Marylu Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801176367 PECOS PAC ID: 1951574441 Enrollment ID: I20111028000017 |
| Provider Name | Leon A Basil |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346248929 PECOS PAC ID: 4789695016 Enrollment ID: I20111212000276 |
| Provider Name | Mays H Al-shaer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1225235294 PECOS PAC ID: 3779745336 Enrollment ID: I20120427000444 |
| Provider Name | Simona Meca |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649415035 PECOS PAC ID: 6204085657 Enrollment ID: I20121001000073 |
| Provider Name | Jaspreet Singh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598859217 PECOS PAC ID: 7810093101 Enrollment ID: I20121117000085 |
| Provider Name | Praneeth Vemulapalli |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760642037 PECOS PAC ID: 2365615614 Enrollment ID: I20121117000096 |
| Provider Name | Bijal Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740446053 PECOS PAC ID: 6406099845 Enrollment ID: I20130904000074 |
| Provider Name | Evan M Rodriguez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356576193 PECOS PAC ID: 9739323023 Enrollment ID: I20130927000072 |
| Provider Name | Zana Nikolla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881827368 PECOS PAC ID: 0345472825 Enrollment ID: I20140416000269 |
| Provider Name | Saba Afzal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215340765 PECOS PAC ID: 5294953717 Enrollment ID: I20140826000297 |
| Provider Name | Kathleen B Mantaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205936507 PECOS PAC ID: 7214828839 Enrollment ID: I20140911001310 |
| Provider Name | Sheeja Francis |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1578680195 PECOS PAC ID: 4880786771 Enrollment ID: I20141006002099 |
| Provider Name | Elvis Rema |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1942528534 PECOS PAC ID: 0648428946 Enrollment ID: I20141029000996 |
| Provider Name | Megan Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235552456 PECOS PAC ID: 1254553076 Enrollment ID: I20141112000400 |
| Provider Name | Theresa Zangerle |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720421233 PECOS PAC ID: 8123349958 Enrollment ID: I20150605000505 |
| Provider Name | Michael J Pereira |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578675112 PECOS PAC ID: 0244266690 Enrollment ID: I20150617001949 |
| Provider Name | Majed El Zouhairi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437383833 PECOS PAC ID: 3971818063 Enrollment ID: I20150819006777 |
| Provider Name | Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528321924 PECOS PAC ID: 4981911419 Enrollment ID: I20150916002208 |
| Provider Name | John Mazzei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265801377 PECOS PAC ID: 4486963048 Enrollment ID: I20151021002112 |
| Provider Name | Romilda Canale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588020267 PECOS PAC ID: 7911206958 Enrollment ID: I20160426001804 |
| Provider Name | Linda Ruta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841482353 PECOS PAC ID: 3870884018 Enrollment ID: I20160620001281 |
| Provider Name | Daniel Carter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508257403 PECOS PAC ID: 1850685348 Enrollment ID: I20160805001296 |
| Provider Name | Yu-kuan Lin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063706414 PECOS PAC ID: 0648568774 Enrollment ID: I20161005001918 |
| Provider Name | Meggin Sabatino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205210366 PECOS PAC ID: 7517266984 Enrollment ID: I20161109002279 |
| Provider Name | Tara A Longo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770004301 PECOS PAC ID: 3779858238 Enrollment ID: I20171009003414 |
| Provider Name | Dorothy A Gioia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013433176 PECOS PAC ID: 0547536625 Enrollment ID: I20171017001994 |
| Provider Name | Manisha Bhutani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679662464 PECOS PAC ID: 5991799108 Enrollment ID: I20180604001644 |
| Provider Name | Mariama-seray Binta Barrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790349512 PECOS PAC ID: 1355776592 Enrollment ID: I20200116002870 |
| Provider Name | Ashley Nicole Stropoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871144998 PECOS PAC ID: 1850728205 Enrollment ID: I20200224002070 |
| Provider Name | Joanne Growney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114150075 PECOS PAC ID: 7810128881 Enrollment ID: I20200316001994 |
| Provider Name | Michael Stern |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356737134 PECOS PAC ID: 6800211905 Enrollment ID: I20200806002318 |
| Provider Name | Raven Strange-robortaccio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568095792 PECOS PAC ID: 0749611812 Enrollment ID: I20201013000185 |
| Provider Name | Alomie Mccallum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588250575 PECOS PAC ID: 7012325160 Enrollment ID: I20210409001350 |
| Provider Name | Amani Sargios |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598105967 PECOS PAC ID: 1557584174 Enrollment ID: I20210428002200 |
| Provider Name | Kristina Blanche Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649825209 PECOS PAC ID: 8820328610 Enrollment ID: I20210517000812 |
| Provider Name | Janine Durant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740863489 PECOS PAC ID: 7214336445 Enrollment ID: I20210520001254 |
| Provider Name | Neil John Kocher |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598185332 PECOS PAC ID: 3779706197 Enrollment ID: I20210714002674 |
| Provider Name | Jonathan Guenoun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285165662 PECOS PAC ID: 7416352406 Enrollment ID: I20210830002240 |
| Provider Name | Rachel Germano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447927975 PECOS PAC ID: 9436547601 Enrollment ID: I20211021001221 |
| Provider Name | Juliet Pauletta West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760037980 PECOS PAC ID: 2062807464 Enrollment ID: I20220322002089 |
| Provider Name | Sophia Khan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750641601 PECOS PAC ID: 5294122305 Enrollment ID: I20220420000038 |
| Provider Name | Kevin M Carnes |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295267557 PECOS PAC ID: 3971848748 Enrollment ID: I20220727000915 |
| Provider Name | Melissa Sabatino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700511714 PECOS PAC ID: 4587049564 Enrollment ID: I20220912001059 |
| Provider Name | Asena Derohannesian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043685308 PECOS PAC ID: 7517232408 Enrollment ID: I20221117001707 |
| Provider Name | Kimberly Clare |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689642852 PECOS PAC ID: 4789052564 Enrollment ID: I20221129001906 |
| Provider Name | Jospeh Calabro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114996253 PECOS PAC ID: 3072981786 Enrollment ID: I20221129003281 |
| Provider Name | Parvaneh Borojeni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922076397 PECOS PAC ID: 0547638207 Enrollment ID: I20221130001896 |
| Provider Name | Christian Hietanen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558322958 PECOS PAC ID: 7911377502 Enrollment ID: I20221222001449 |
| Provider Name | Bethany Demarco |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780201731 PECOS PAC ID: 6002275724 Enrollment ID: I20230628003689 |
| Provider Name | Carolyne Akoth Odondi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770269847 PECOS PAC ID: 6002261039 Enrollment ID: I20231011003706 |
| Provider Name | Antonia Urciuoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811773617 PECOS PAC ID: 4082956339 Enrollment ID: I20231018002480 |
Anthony R Tardio Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Fulton Ave, Poughkeepsie, NY 12603 Phone: 845-471-5070 Fax: 845-471-8901 | |
Mahboobur Rahman Md & Gopa Rahman Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 243 North Rd, Suite 201n, Poughkeepsie, NY 12601 Phone: 845-454-0370 Fax: 845-454-6017 | |
Hudson Valley Medical Doctors Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Raymond Ave, Poughkeepsie, NY 12603 Phone: 845-471-5519 Fax: 845-471-2928 | |
Long Term Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-483-6217 Fax: 845-483-6108 | |
Greenwich Village Gastroenterology, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Montgomery St, Poughkeepsie, NY 12601 Phone: 845-471-1354 Fax: 845-689-0610 | |
Nunziata Raschella Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 97 Fulton Ave, Poughkeepsie, NY 12603 Phone: 845-486-7520 Fax: 845-486-8090 | |
Hudson Valley Emergency Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Reade Place, Vassar Brothers Medical Center, Poughkeepsie, NY 12601 Phone: 845-431-5624 Fax: 610-617-6280 |