| Schuyler Hospital Physician Group | |
|
230 Steuben Street Montour Falls NY 14865 | |
| (607) 535-7154 | |
| (607) 535-7157 |
| Full Name | Schuyler Hospital Physician Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 230 Steuben Street, Montour Falls, New York |
| Authorized Official Name and Position | Sue O'connell (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Contact | 6075358639 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Schuyler Hospital Physician Group 220 Steuben St Montour Falls NY 14865-9740 Ph: (607) 535-8638 | Schuyler Hospital Physician Group 230 Steuben Street Montour Falls NY 14865 Ph: (607) 535-7154 |
| NPI Number | 1760582142 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3577548262 |
|---|---|
| Medicare Enrollment ID | O20040618000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760582142 | NPI | - | NPPES |
| 000012654 | Other | NY | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (New York) | Secondary |
| 207R00000X | Internal Medicine | (New York) | Primary |
| 208600000X | Surgery | (New York) | Secondary |
| Provider Name | Ashutosh H Ruparelia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790771996 PECOS PAC ID: 3375435696 Enrollment ID: I20040329001765 |
| Provider Name | Ashraf Sabahat |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1386654051 PECOS PAC ID: 2860472859 Enrollment ID: I20040721000759 |
| Provider Name | John Paul D Mead |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861498602 PECOS PAC ID: 4587628300 Enrollment ID: I20041112000094 |
| Provider Name | Christina I Klufas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700115888 PECOS PAC ID: 0840270138 Enrollment ID: I20050204000648 |
| Provider Name | Kimberly Sutryk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154396380 PECOS PAC ID: 0446292957 Enrollment ID: I20050525000396 |
| Provider Name | Timothy E Bael |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376605501 PECOS PAC ID: 2062449705 Enrollment ID: I20050725000894 |
| Provider Name | Beth S Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720029382 PECOS PAC ID: 9830123603 Enrollment ID: I20050922000895 |
| Provider Name | Jagmohan Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972619013 PECOS PAC ID: 2163440090 Enrollment ID: I20051109000121 |
| Provider Name | Thomas M Toal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720054372 PECOS PAC ID: 2668426164 Enrollment ID: I20060407000057 |
| Provider Name | Jonathan Mauser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417902958 PECOS PAC ID: 9133130644 Enrollment ID: I20060517000101 |
| Provider Name | Wade Bollinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730198136 PECOS PAC ID: 8325026727 Enrollment ID: I20070201000187 |
| Provider Name | James R Norton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679592224 PECOS PAC ID: 3779685607 Enrollment ID: I20070223000562 |
| Provider Name | Laura J Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548356629 PECOS PAC ID: 8527163922 Enrollment ID: I20070413000032 |
| Provider Name | Magdalena D Hohn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285644260 PECOS PAC ID: 6709982226 Enrollment ID: I20070430000538 |
| Provider Name | Mark Andrew Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588737167 PECOS PAC ID: 6002998341 Enrollment ID: I20080125000451 |
| Provider Name | Michael H Eisman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639244205 PECOS PAC ID: 7113915554 Enrollment ID: I20080128000256 |
| Provider Name | Mary Frances Nevin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598757528 PECOS PAC ID: 7810983079 Enrollment ID: I20090116000074 |
| Provider Name | Joseph A Mannino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720047996 PECOS PAC ID: 7810977659 Enrollment ID: I20090615000110 |
| Provider Name | Kristina M Cummings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356367098 PECOS PAC ID: 4385694959 Enrollment ID: I20090701000003 |
| Provider Name | Brian Bollo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992943153 PECOS PAC ID: 0345392536 Enrollment ID: I20090720000191 |
| Provider Name | Andreia P De Lima |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376733329 PECOS PAC ID: 2365583192 Enrollment ID: I20091230000555 |
| Provider Name | Anthony Sanito |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1033189931 PECOS PAC ID: 8224161997 Enrollment ID: I20100802000333 |
| Provider Name | Donald G Bluh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619947660 PECOS PAC ID: 5991838674 Enrollment ID: I20100802000417 |
| Provider Name | Mattison A Burt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437129483 PECOS PAC ID: 8729112099 Enrollment ID: I20100823000668 |
| Provider Name | Cynthia C Martinez Capolino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184834400 PECOS PAC ID: 7214002799 Enrollment ID: I20100923001450 |
| Provider Name | James F Winkler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639242308 PECOS PAC ID: 6002002466 Enrollment ID: I20101124000203 |
| Provider Name | Dvorah Milner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376613836 PECOS PAC ID: 4789698127 Enrollment ID: I20101214001323 |
| Provider Name | Hannah E Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598065401 PECOS PAC ID: 9436339355 Enrollment ID: I20110210000311 |
| Provider Name | Malcolm Brand |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770507683 PECOS PAC ID: 1759389158 Enrollment ID: I20110506000008 |
| Provider Name | Jerry Robert Emmons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528202462 PECOS PAC ID: 3476730573 Enrollment ID: I20110526000471 |
| Provider Name | Candice M Oliver |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932361656 PECOS PAC ID: 0648457127 Enrollment ID: I20110609000503 |
| Provider Name | Benjamin J Saks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033423447 PECOS PAC ID: 7911184114 Enrollment ID: I20110615000181 |
| Provider Name | Joshua E Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710272638 PECOS PAC ID: 0244401800 Enrollment ID: I20110913000128 |
| Provider Name | Vallerie Franzese Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770685166 PECOS PAC ID: 9032133160 Enrollment ID: I20120710000250 |
| Provider Name | Jarred M Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669761821 PECOS PAC ID: 5496979007 Enrollment ID: I20140620000729 |
| Provider Name | Lavanya Kodali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114172038 PECOS PAC ID: 8426278698 Enrollment ID: I20141010000831 |
| Provider Name | Qi Zhang |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1720220734 PECOS PAC ID: 8921228099 Enrollment ID: I20141013002355 |
| Provider Name | Marie A Harkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558437640 PECOS PAC ID: 1951376045 Enrollment ID: I20141119001682 |
| Provider Name | Krista L Puffer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356720452 PECOS PAC ID: 1355657214 Enrollment ID: I20150909000264 |
| Provider Name | Hannah L Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932581063 PECOS PAC ID: 6103133400 Enrollment ID: I20150918002062 |
| Provider Name | Robert P Glantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841578259 PECOS PAC ID: 7416102678 Enrollment ID: I20160412000740 |
| Provider Name | Samara Touchton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760842314 PECOS PAC ID: 2264722685 Enrollment ID: I20160526000264 |
| Provider Name | Daniel T Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881044295 PECOS PAC ID: 4880598762 Enrollment ID: I20160916000341 |
| Provider Name | Patricia L Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639522550 PECOS PAC ID: 5890082044 Enrollment ID: I20161003000960 |
| Provider Name | Amanda S Kinsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801249735 PECOS PAC ID: 8022306521 Enrollment ID: I20161017001866 |
| Provider Name | Johannah Elizabeth Shortle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336664655 PECOS PAC ID: 8224301965 Enrollment ID: I20170831002264 |
| Provider Name | Joel Ford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720491335 PECOS PAC ID: 3779856323 Enrollment ID: I20170905000419 |
| Provider Name | Jillian Senner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477990430 PECOS PAC ID: 5193019727 Enrollment ID: I20170919000378 |
| Provider Name | Rachel Douglas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033452198 PECOS PAC ID: 4688949399 Enrollment ID: I20171005002577 |
| Provider Name | Christine Stierly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790953966 PECOS PAC ID: 0749547198 Enrollment ID: I20171120003300 |
| Provider Name | Katlynne Ray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487171419 PECOS PAC ID: 1153688494 Enrollment ID: I20171122000568 |
| Provider Name | Melissa A Pinckney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659890465 PECOS PAC ID: 5597022590 Enrollment ID: I20171129002795 |
| Provider Name | Jennifer Mckenzie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972713436 PECOS PAC ID: 8022180017 Enrollment ID: I20171228000391 |
| Provider Name | Grace Rebecca Fox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962805325 PECOS PAC ID: 2062770852 Enrollment ID: I20171228001020 |
| Provider Name | Anthony R Mato |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053473983 PECOS PAC ID: 1254405996 Enrollment ID: I20180316001253 |
| Provider Name | Curtis L Wininger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649713710 PECOS PAC ID: 3173800661 Enrollment ID: I20180329002259 |
| Provider Name | Richard Robert Forest |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952344145 PECOS PAC ID: 3779527437 Enrollment ID: I20180514000308 |
| Provider Name | Ashlin M Thuman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366829327 PECOS PAC ID: 3375854631 Enrollment ID: I20180829000428 |
| Provider Name | Caelyn Thea Bellerose |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124482179 PECOS PAC ID: 3870846355 Enrollment ID: I20181031000166 |
| Provider Name | Lisa M Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750558086 PECOS PAC ID: 6204906803 Enrollment ID: I20190116003724 |
| Provider Name | Kathryn Simms |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972071280 PECOS PAC ID: 5799022000 Enrollment ID: I20190124002094 |
| Provider Name | Angela Arbach |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891106845 PECOS PAC ID: 6608149133 Enrollment ID: I20190306001091 |
| Provider Name | Nikki A Fitch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326518192 PECOS PAC ID: 3173866506 Enrollment ID: I20190528000916 |
| Provider Name | Keith Lambert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023469764 PECOS PAC ID: 4183970049 Enrollment ID: I20190711002691 |
| Provider Name | Sushilkumar Satish Gupta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750799722 PECOS PAC ID: 7416294368 Enrollment ID: I20200512002622 |
| Provider Name | Omar Taha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841618303 PECOS PAC ID: 1355686312 Enrollment ID: I20200512003241 |
| Provider Name | Kevin P Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710524616 PECOS PAC ID: 1355778986 Enrollment ID: I20200623003347 |
| Provider Name | Sapan M Shah |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1922493097 PECOS PAC ID: 9537581020 Enrollment ID: I20200630001779 |
| Provider Name | Carl Juers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841686714 PECOS PAC ID: 9931522430 Enrollment ID: I20200630002592 |
| Provider Name | Tyler R Kelly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689100935 PECOS PAC ID: 7214270123 Enrollment ID: I20200811002183 |
| Provider Name | Micah Gabriel Katz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912324955 PECOS PAC ID: 4284934282 Enrollment ID: I20200917001255 |
| Provider Name | Suzanne M Dozoretz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033744891 PECOS PAC ID: 2062832561 Enrollment ID: I20201022001931 |
| Provider Name | Ashley H. Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922269638 PECOS PAC ID: 0143522755 Enrollment ID: I20201023000672 |
| Provider Name | H. Hans Salamanca |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023464252 PECOS PAC ID: 9931519758 Enrollment ID: I20201106001257 |
| Provider Name | Jessica L Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285244012 PECOS PAC ID: 0648680306 Enrollment ID: I20201109000533 |
| Provider Name | Paul S Patane |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003812512 PECOS PAC ID: 2163435330 Enrollment ID: I20210319000436 |
| Provider Name | Robert W Horowitz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1578667960 PECOS PAC ID: 1850328477 Enrollment ID: I20210510000827 |
| Provider Name | Lucas D Knewstub |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083103642 PECOS PAC ID: 6204238306 Enrollment ID: I20210713000162 |
| Provider Name | Ali Akram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285123752 PECOS PAC ID: 2668877143 Enrollment ID: I20210820002789 |
| Provider Name | Bridgette Heath-isigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932872231 PECOS PAC ID: 8921405895 Enrollment ID: I20210920001271 |
| Provider Name | Jessica D Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164199428 PECOS PAC ID: 0840697785 Enrollment ID: I20210921000349 |
| Provider Name | Michael J Zylstra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437679636 PECOS PAC ID: 9133551591 Enrollment ID: I20220119001907 |
| Provider Name | William Lewis Enslow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437297157 PECOS PAC ID: 1254500846 Enrollment ID: I20220208002221 |
| Provider Name | Kristen Canzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124781877 PECOS PAC ID: 2668865650 Enrollment ID: I20220216000652 |
| Provider Name | Mufti N Ahmad |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1750511218 PECOS PAC ID: 0648435628 Enrollment ID: I20220518002105 |
| Provider Name | Laura Lucas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275295297 PECOS PAC ID: 6608254321 Enrollment ID: I20220608000277 |
| Provider Name | Rodolfo P Belen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992448799 PECOS PAC ID: 3971981531 Enrollment ID: I20220609002955 |
| Provider Name | Ryan C Faker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881029676 PECOS PAC ID: 6800023755 Enrollment ID: I20220615002372 |
| Provider Name | Lauren M Yee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669934204 PECOS PAC ID: 4981086741 Enrollment ID: I20220727000991 |
| Provider Name | Heather L Zimba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487069068 PECOS PAC ID: 5799904330 Enrollment ID: I20230127002567 |
| Provider Name | Hilary K Dietz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669902862 PECOS PAC ID: 9830460708 Enrollment ID: I20230711000471 |
| Provider Name | Caleb S Baxter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780063727 PECOS PAC ID: 5698196434 Enrollment ID: I20230801001956 |
| Provider Name | Jonathan P Edelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508433780 PECOS PAC ID: 5991171258 Enrollment ID: I20230808001449 |
| Provider Name | Samuel P Francis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316478050 PECOS PAC ID: 6709121189 Enrollment ID: I20230825000850 |
| Provider Name | Tandy M Agostini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134642135 PECOS PAC ID: 8628496239 Enrollment ID: I20230829002214 |
| Provider Name | Nima Hazrati Pour Fard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225657349 PECOS PAC ID: 1153785530 Enrollment ID: I20231120002258 |
| Provider Name | Rachael Huwyler Wiig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063074052 PECOS PAC ID: 1557697521 Enrollment ID: I20240215000356 |
Montour Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 Steuben St, Montour Falls, NY 14865 Phone: 607-535-7154 Fax: 607-535-7157 |