PRESTIGE PHYSICIANS SERVICES, PLLC (NPI# 1134233497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134233497 |
| Entity Type | Organization |
| Organization Name | PRESTIGE PHYSICIANS SERVICES, PLLC |
| Practice Address |
164 Willow Ave Cornwall NY 12518 |
| Mailing Address |
164 Willow Ave Cornwall NY 12518-1329 |
| Practice Telephone | 8455651771 |
| Practice Fax Number | 8455654941 |
| Mailing Telephone | 9147556812 |
| Mailing Fax Number | 8455654941 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2018-12-01 |
| Authorized Official Name | RICHARD M DIAMOND (OWNER) |
| Authorized Official Telephone | 9147556812 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 05174598 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 375 Windsor Hwy, New Windsor, NY 125537902 | 8455651771 | 8455654941 |
| Street Address |
164 WILLOW AVE |
| City | CORNWALL |
| State | NY |
| Zip Code | 12518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003815440 | Philip Sheridan Smith | Internal Medicine | 164 Willow Ave, Cornwall, NY 12518-1329 | 2005-07-19 |
| 1841582822 | Orange Hematology-oncology Pllc | Internal Medicine | 164 Willow Ave, Cornwall, NY 12518-1329 | 2011-05-09 |
| 1568762516 | Kimberly Darrigo | Nurse Practitioner | 164 Willow Ave, Cornwall, NY 12518-1329 | 2010-10-25 |
| 1821321019 | Frances Anne Parisi | Nurse Practitioner | 164 Willow Ave, Cornwall, NY 12518-1329 | 2009-09-07 |
| 1316053952 | Richard Marc Diamond | Internal Medicine | 164 Willow Ave, Cornwall, NY 12518-1329 | 2006-08-23 |
| 1073629689 | Mid Hudson Hematology Oncology PC | Internal Medicine | 164 Willow Ave, Cornwall, NY 12518-1329 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883697 | Rose Ema Francine Dubreus Pierre | Registered Nurse | 40 Firth Street, Cornwall, NY 12518 | 2020-05-23 |
| 1255847406 | Casey Marianne Undersinger | Occupational Therapist | 340 Hudson Street, Cornwall, NY 12518 | 2017-12-26 |
| 1629287107 | Clifford James Russ | Dentist | 41 Ridge Road, Cornwall, NY 12518 | 2007-05-22 |
| 1740687474 | Carolann Frances Furchi | Psychologist | 186 Main Street, Cornwall, NY 12518 | 2014-11-24 |
| 1952661274 | Kirti Joseph | Student in an Organized Health Care Education/Training Program | Hudson Vista Medical, PC, 21 Laurel Avenue, Suite 280, Cornwall, NY 12518 | 2012-05-21 |
| 1255564969 | Manita Sawhney | Internal Medicine | Hudson Vista Medical, PC, 21 Laurel Avenue, Suite 280, Cornwall, NY 12518 | 2009-08-27 |
| 1568583896 | Eastern Orange Ambulatory Surgery Center, LLC | Clinic/Center | 21 Laurel Ave, Suite 120, Cornwall, NY 12518 | 2007-04-03 |
| 1518022771 | Pelella Apothecary Inc | Pharmacy | 21 Laurel Ave, Ste 110, Cornwall, NY 12518 | 2006-12-27 |
| 1245327162 | Thomas V Robb | Surgery | 21 Laurel Ave, Suite 240, Cornwall, NY 12518 | 2006-10-10 |
| 1417967514 | Nicholas George Bambino | Internal Medicine | 10 Elm St, Cornwall, NY 12518 | 2006-08-09 |
| Find all providers in zip 12518 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104897131 | Eugene Irving Schreiner | Internal Medicine | 10 Elm St, Cornwall, NY 12518-1410 | 2006-01-28 |
| 1093709479 | Jonathan Manuel Perez Castro | Internal Medicine | 2570 Route 9w, Cornwall, NY 12518-1323 | 2005-08-31 |
| 1255564969 | Manita Sawhney | Internal Medicine | Hudson Vista Medical, PC, 21 Laurel Avenue, Suite 280, Cornwall, NY 12518 | 2009-08-27 |
| 1124251012 | G. S. Mehar Physician, P.C. | Internal Medicine | 14 Elm St, Cornwall, NY 12518-1410 | 2009-08-26 |
| 1639216179 | Myrelle Baquiran Castro | Internal Medicine | 2570 Route 9w, Suite 4, Cornwall, NY 12518-1323 | 2007-02-01 |
| 1619026531 | Gurinder Singh Mehar | Internal Medicine | 14 Elm St, Cornwall, NY 12518-1410 | 2007-01-09 |
| 1417967514 | Nicholas George Bambino | Internal Medicine | 10 Elm St, Cornwall, NY 12518 | 2006-08-09 |
| 1134185556 | Susan M Jensen | Internal Medicine | 2570 Route 9w, Ste 4, Cornwall, NY 12518-1323 | 2006-04-25 |
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| Find all providers with the same taxonomy | ||||
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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.