Vahe Keukjian (NPI# 1134172018, PAC ID# 0042369134) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1134172018 |
PAC ID by PECOS | 0042369134 |
Professional Enrollment ID | I20090520000268 |
Full Name | Vahe Keukjian |
Organization Legal Name | YOUR FAMILY DOC PC |
Address |
2 Sherman Potts Dr Ghent NY 12075-3216 |
Phone Number | 5183140889 |
Gender | M |
Graduation Year | 1986 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 3779748272 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330094 | COLUMBIA MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
2 Sherman Potts Dr, Ghent, NY 12075-3216 | 5183140889 | YOUR FAMILY DOC PC |
Organization Legal Name | YOUR FAMILY DOC PC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lance M Castellana | Family Medicine | Your Family Doc PC | 2 Sherman Potts Dr, Ghent, NY 12075-3216 |
Street Address |
2 SHERMAN POTTS DR |
City | GHENT |
State | NY |
Zip | 12075-3216 |
Name | Specialty | Organization | Address |
---|---|---|---|
Vinita Gupta | Pulmonary Disease | 2 Sherman Potts Dr, Suite 201, Ghent, NY 12075-3216 | |
Linda Kilmer | Registered Dietitian Or Nutrition Professional | 2 Sherman Potts Dr, Suite 203, Ghent, NY 12075-3216 | |
Ijunanya Holder | Physical Therapy | 2 Sherman Potts Dr, Suite 202, Ghent, NY 12075-3216 | |
Karyn Dornemann | Chiropractic | 2 Sherman Potts Dr, Ghent, NY 12075-3216 | |
Lance M Castellana | Family Medicine | Your Family Doc PC | 2 Sherman Potts Dr, Ghent, NY 12075-3216 |
Juanita M Bryant | Registered Dietitian Or Nutrition Professional | Bryant Nutrition Pllc | 2 Sherman Potts Dr, Suite 203, Ghent, NY 12075-3216 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nona L Lewis | Psychologist, Clinical | 72 Cool Timber Rd, Ghent, NY 12075-1245 | |
Joseph J Colosi | Family Medicine | New York General Medical Services PC | 30 Whitter Way, Ghent, NY 12075-3213 |
City | GHENT |
Zip Code | 12075 |
Specialty | FAMILY MEDICINE |
City + Specialty | GHENT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Vahe Keukjian.
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.