UNION STREET FAMILY MEDICINE, LLC (NPI# 1790830222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790830222 |
| Entity Type | Organization |
| Organization Name | UNION STREET FAMILY MEDICINE, LLC |
| Practice Address |
1325 Union St Schenectady NY 12308-3033 |
| Mailing Address |
Po Box 9036 Schenectady NY 12309-0036 |
| Practice Telephone | 5183934961 |
| Practice Fax Number | 5183934955 |
| Mailing Telephone | 5183891805 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2008-02-06 |
| Authorized Official Name | CHRISTOPHER PAWLINGA (CO-OWNER) |
| Authorized Official Telephone | 5183934961 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 60426 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CDPHP | U159 | 01 |
| Street Address |
1325 UNION ST |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12308-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295004125 | Mary C O'brien | Registered Nurse | 90 Elmer Ave, Schenectady, NY 12308 | 2011-12-21 |
| 1114203882 | Gina R Davenport | Speech-Language Pathologist | Zoller Elementary School, 1180 Lancaster Street, Schenectady, NY 12308 | 2011-10-26 |
| 1831472315 | Laura A Denofio | Social Worker | 1445 The Plaza, Schenectady, NY 12308 | 2011-09-21 |
| 1023328440 | Anthony G. Cortese | Social Worker | 1362 Union Street, Schenectady, NY 12308 | 2010-10-19 |
| 1205142288 | Jessica Lee Schoen | Pharmacist | 461 Nott Street, Schenectady, NY 12308 | 2010-08-27 |
| 1932411451 | Tracey E Zusman | Physician Assistant | 1101 Nott St., Schenectady, NC 12308 | 2010-07-13 |
| 1316274194 | Helping Hands Nurse Staffing Services, LLC | Nursing Care | 2180 Avenue B, Schenectady, NY 12308 | 2009-11-16 |
| 1831345628 | Schenectady Radiologists | Radiology | 1101 Nott Street, Schenectady, NY 12308 | 2008-08-12 |
| 1891973459 | Anthony Joseph De Palma Sr. | Dentist | 1351 Union Street, Schenectady, NY 12308 | 2008-02-06 |
| 1447464029 | Lauren Weisberg Savage | Social Worker | 1411 Union Street, Schen, NY 12308 | 2007-05-10 |
| Find all providers in zip 12308 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1356784839 | Nicole Tetreault | Family Medicine | 3757 Carman Rd Ste 100, Schenectady, NY 12303-5438 | 2013-04-15 |
| 1780919266 | John E Hargraves | Family Medicine | 3681 E Lydius St, Schenectady, NY 12303-3562 | 2009-10-16 |
| 1639205636 | Paul J Byron | Family Medicine | 500 Balltown Rd, Schenectady, NY 12304-2247 | 2007-02-26 |
| 1285724294 | Shahida Parveen Mirza | Family Medicine | 2125 River Rd Ste 202, Schenectady, NY 12309-1135 | 2006-10-13 |
| 1225051253 | Zofia Wanda Drzymalski | Family Medicine | 1667 Elizabeth St, Schenectady, NY 12303-3805 | 2006-07-25 |
| 1770518722 | Siren Rasik Chudgar | Family Medicine | 976 Balltown Rd, Schenectady, NY 12309-6428 | 2006-07-11 |
| 1518932458 | Juanito Antonio Reyes | Family Medicine | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2006-02-22 |
| 1174598387 | Donna Tuttle | Family Medicine | 3040 Broadway, Schenectady, NY 12306-2102 | 2006-02-21 |
| 1780658658 | David N Hornick | Family Medicine | 16 Crimson Oak Ct, Schenectady, NY 12309-2234 | 2006-02-15 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12308 |
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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.