Mark Kwalbrun (NPI# 1811997042, PAC ID# 0042205080) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1811997042 |
| PAC ID by PECOS | 0042205080 |
| Professional Enrollment ID | I20040419000521 |
| Full Name | Mark Kwalbrun |
| Organization Legal Name | ALI M GHARAGOZLOO MD PC |
| Address |
27 Club Dr S Jericho NY 11753-1132 |
| Phone Number | 61421018851794 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 1997 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0446228472 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330157 | SAMARITAN MEDICAL CENTER |
| 330211 | CLAXTON-HEPBURN MEDICAL CENTER |
| 331309 | RIVER HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 4 Fuller St, Alex Bay, NY 13607-1316 | 3154822511 | SEAWAY RADIOLOGY PC |
| 1001 W St, Carthage, NY 13619-9703 | 3157865000 | NORTHERN RADIOLOGY ASSOCIATES PC |
| 27 Club Dr S, Jericho, NY 11753-1132 | 61421018851794 | ALI M GHARAGOZLOO MD PC |
| 27 Club Dr S, Jericho, NY 11753-1132 | SEAWAY RADIOLOGY PC | |
| 214 King St, Ogdensburg, NY 13669-1142 | 3153933600 | ALI M GHARAGOZLOO MD PC |
| 1571 Washington St, Suite 101, Watertown, NY 13601-9304 | 3157865047 | NORTHERN RADIOLOGY IMAGING CENTER PLLC |
| 830 Washington St, Watertown, NY 13601-4034 | 3157865000 | NORTHERN RADIOLOGY ASSOCIATES PC |
| Organization Legal Name | ALI M GHARAGOZLOO MD PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Wasenko | Diagnostic Radiology | Ali M Gharagozloo Md PC | 214 King St, Ogdensburg, NY 13669-1142 |
| Ali M Gharagozloo | Diagnostic Radiology | Ali M Gharagozloo Md PC | 214 King St, Ogdensburg, NY 13669-1142 |
| Thomas G Green | Diagnostic Radiology | Ali M Gharagozloo Md PC | 214 King St, Ogdensburg, NY 13669-1142 |
| Street Address |
27 CLUB DR S |
| City | JERICHO |
| State | NY |
| Zip | 11753-1132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard S Keohane | Physical Therapy | 55 Jericho Tpke, Suite 102, Jericho, NY 11753-1013 | |
| Amir Milad Hanna | Physical Therapy | 55 Jericho Tpke, Suite 306, Jericho, NY 11753-1013 | |
| Fredy Ho | Physical Therapy | Jericho Wellness LLC | 55 Jericho Tpke, Suite 102, Jericho, NY 11753-1013 |
| Adam J Schneider | Neurology | Adam J Schneider Md PC | 99 Jericho Tpke, Suite 206, Jericho, NY 11753-1015 |
| Lawrence A. Smiley | General Practice | 99 Jericho Tpke, Suite 202, Jericho, NY 11753-1015 | |
| Marco L Palermo | Physical Therapy | 99 Jericho Tpke, Suite 305, Jericho, NY 11753-1015 | |
| Scott P Bloom | Family Medicine | 99 Jericho Tpke, Suite 206, Jericho, NY 11753-1015 | |
| Alan A Mazurek | Neurology | Adam J Schneider Md PC | 99 Jericho Tpke, Suite 206, Jericho, NY 11753-1015 |
| Richard P Grucela | Physical Therapy | 33 S Service Rd, Suite 119, Jericho, NY 11753-1036 | |
| Navin S Arora | Dermatology | 38 Holiday Pond Rd, Jericho, NY 11753-1156 | |
| Find all physicians in zip 11753 | |||
| City | JERICHO |
| Zip Code | 11753 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | JERICHO + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Mark Kwalbrun.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.