Kristen M Green (NPI# 1093891145, PAC ID# 0345136123) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1093891145 |
| PAC ID by PECOS | 0345136123 |
| Professional Enrollment ID | I20040227000104 |
| Full Name | Kristen M Green |
| Organization Legal Name | ALICE HYDE MEDICAL CENTER |
| Address |
134 Park St Malone NY 12953-1251 |
| Gender | F |
| Credential | PA |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1995 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4082525837 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330084 | ALICE HYDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 134 Park St, Malone, NY 12953-1251 | ALICE HYDE MEDICAL CENTER |
| Organization Legal Name | ALICE HYDE MEDICAL CENTER |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan E Gagner | Certified Nurse Midwife (cnm) | Alice Hyde Medical Center | 16 3rd St A, Malone, NY 12953-1305 |
| Rodolfo L Dy | General Surgery | Alice Hyde Medical Center | 16 3rd St B, Malone, NY 12953-1305 |
| Steven Shamosh | Internal Medicine | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Sarah A Moore | Physician Assistant | Alice Hyde Medical Center | 24 4th St, Suite 4, Malone, NY 12953-1350 |
| Joseph E Robinson | Family Medicine | Alice Hyde Medical Center | 45 6th St, Malone, NY 12953-1246 |
| Kathleen Lauzon | Nurse Practitioner | Alice Hyde Medical Center | 577 County Route 1, Fort Covington, NY 12937-2805 |
| Anne E Mcilhenny | Registered Dietitian Or Nutrition Professional | Alice Hyde Medical Center | 20 4th St, Malone, NY 12953-1339 |
| Rowan Fish | Dermatology | Alice Hyde Medical Center | 969 State Rt, Moira, NY 12957 |
| Mia Ross | Nurse Practitioner | Alice Hyde Medical Center | 23 4th St, Suite 1, Malone, NY 12953-1331 |
| Myrna A Sanchez | Internal Medicine | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
| Street Address |
134 PARK ST |
| City | MALONE |
| State | NY |
| Zip | 12953-1251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura A Rizzo | Nurse Practitioner | Alice Hyde Medical Center | 134 Park St, Malone, NY 12953-1251 |
| Nancy Denis | Nurse Practitioner | Alice Hyde Medical Center | 134 Park St, Malone, NY 12953-1251 |
| Alice Tibbetts | Physician Assistant | Alice Hyde Medical Center | 134 Park St, Malone, NY 12953-1251 |
| Marcus Mcferren | Dermatology | Tdg Connecticut Pllc | 134 Park St, New Haven, CT 06511-5409 |
| Dimitrina I Banu | Physician Assistant | Alice Hyde Medical Center | 134 Park St, Malone, NY 12953-1251 |
| Lisa Marian Donofrio | Dermatology | The Savin Center, P.C. | 134 Park St, New Haven, CT 06511-5409 |
| Ronald C Savin | Dermatology | The Savin Center, P.C. | 134 Park St, New Haven, CT 06511-5409 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel T Santy | Chiropractic | Adirondack Region Chiropractic PC | 9 Finney Blvd, Malone, NY 12953-1038 |
| Tracy A Trudel | Chiropractic | Adirondack Region Chiropractic PC | 9 Finney Blvd, Malone, NY 12953-1038 |
| Gary L Hanley | Optometry | 22 Finney Blvd, Malone, NY 12953-1039 | |
| Noni H Irish | Clinical Social Worker | Citizen Advocates, Inc | 209 Park St, Malone, NY 12953-1228 |
| Myrna A Sanchez | Internal Medicine | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
| Marie W Haggarty | Physician Assistant | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
| Vladimir Medved | Pain Management | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
| David J Griffin | Physician Assistant | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
| Steven Shamosh | Internal Medicine | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Derek J Reynolds | Nurse Practitioner | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Find all physicians in zip 12953 | |||
| City | MALONE |
| Zip Code | 12953 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MALONE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kristen M Green.
| 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.