| St. John's Riverside Hospital-hs | |
|
967 N Broadway Yonkers NY 10701-1301 | |
| (914) 966-9787 | |
| (914) 966-9793 |
| Full Name | St. John's Riverside Hospital-hs |
|---|---|
| Speciality | Internal Medicine |
| Location | 967 N Broadway, Yonkers, New York |
| Authorized Official Name and Position | Silvia Ugalde (ASSISTANT VICE PRESIDENT) |
| Authorized Official Contact | 9149669787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. John's Riverside Hospital-hs Po Box 998 Attn: Riverside Management Services Org Yonkers NY 10703-0998 Ph: (914) 966-9787 | St. John's Riverside Hospital-hs 967 N Broadway Yonkers NY 10701-1301 Ph: (914) 966-9787 |
| NPI Number | 1235171018 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 10/22/2007 |
| Medicare PECOS PAC ID | 5799764031 |
|---|---|
| Medicare Enrollment ID | O20040719001272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235171018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hilary Feder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437105566 PECOS PAC ID: 6608977632 Enrollment ID: I20070720000633 |
| Provider Name | Radhika Hariharan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194893461 PECOS PAC ID: 8820283476 Enrollment ID: I20101109001319 |
| Provider Name | Misty L Chiu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003034398 PECOS PAC ID: 2062645682 Enrollment ID: I20140507000113 |
| Provider Name | Olimpia T Gheorghiu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992851885 PECOS PAC ID: 9931321973 Enrollment ID: I20141107000031 |
| Provider Name | Neville Nugent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679934152 PECOS PAC ID: 7113202979 Enrollment ID: I20170320000514 |
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