MARY E. FOWKES (NPI# 1003901042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003901042 |
| Entity Type | Individual |
| Full Name | MARY E. FOWKES |
| Other Name | MARY TREATMAN |
| Credential | M.D. |
| Practice Address |
1190 5th Ave One Gustave L. Levy Place, Mailbox #1194 New York NY 10029-6503 |
| Mailing Address |
28 Elm Rd Katonah NY 10536-1308 |
| Practice Telephone | 2122413069 |
| Mailing Telephone | 9175726209 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
229732 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1190 5TH AVE ONE GUSTAVE L. LEVY PLACE, MAILBOX #1194 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-6503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953779 | Ilene Schulman | Nurse Practitioner | 1190 5th Ave, New York, NY 10029-6503 | 2005-06-22 |
| 1922622653 | Ioannis John Demarakos | Student in an Organized Health Care Education/Training Program | 1190 5th Ave, New York, NY 10029-6503 | 2020-05-28 |
| 1083179394 | Sarah Lamothe | Nurse Practitioner | 1190 5th Ave, New York, NY 10029-6574 | 2019-01-31 |
| 1821562505 | Lorenzo Azzalini | Internal Medicine | 1190 5th Ave, Cardiac Catheterization Laboratory, New York, NY 10029 | 2019-01-16 |
| 1609362516 | Chartaroon Rimsukcharoenchai | Student in an Organized Health Care Education/Training Program | 1190 5th Ave, New York, NY 10029-6503 | 2018-07-03 |
| 1104330786 | Martin Thomas Yates | Student in an Organized Health Care Education/Training Program | 1190 5th Ave, New York, NY 10029-6503 | 2017-11-19 |
| 1194246041 | Kyle Green | Physician Assistant | 1190 5th Ave, New York, NY 10029-6503 | 2017-06-30 |
| 1790157535 | Ariel Farkash | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1190 5th Ave, Guggenheim Pavilion-two West, New York, NY 10029-6503 | 2015-10-20 |
| 1528447646 | Ana Claudia Brenner Affonso Da Costa | Student in an Organized Health Care Education/Training Program | 1190 5th Ave, Cardiovascular Department, New York, NY 10029-6503 | 2015-05-21 |
| 1780071829 | Joyce Nader Ghobrial | Physician Assistant | 1190 5th Ave, New York, NY 10029-6503 | 2015-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
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| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879802 | Vanguard Medical Services Pllc | Pathology | 233 Broadway Rm 2750, New York, NY 10279-2704 | 2020-07-23 |
| 1386061133 | Lee J. Slavutin | Pathology | 100 Riverside Drive, Apt 15d, New York, NY 10024 | 2014-03-18 |
| 1043585714 | Deborah Williams | Pathology | 526 W 122nd St, New York, NY 10027-5814 | 2012-03-14 |
| 1154618825 | Adela Cimic | Pathology | 630 W 168 St, Department of Pathology, New York, NY 10032 | 2011-07-01 |
| 1972894475 | Anne Grabenstetter | Pathology | 1161 York Ave Apt 5d, New York, NY 10065-7969 | 2011-05-02 |
| 1073804654 | Dominick Santoriello | Pathology | 630 W 168th St # Vc14-224, New York, NY 10032-3725 | 2011-04-29 |
| 1003111774 | Iris Teo | Pathology | 504 E 89th St, New York, NY 10128-7872 | 2011-01-11 |
| 1699078667 | Neil Renwick | Pathology | 500 East 53rd Street, Apt 10a, New York, NY 10065-7949 | 2010-12-14 |
| 1396074043 | Boyce P Bennett | Pathology | 245 E 93rd St Apt 6f, New York, NY 10128-3963 | 2009-12-09 |
| 1285895847 | Irini Andrea Scordi-bello | Pathology | 2021 1st Ave, Ph1, New York, NY 10029-5093 | 2008-06-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.