Edit K Masaba (NPI# 1407844590, PAC ID# 0345223475) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1407844590 |
| PAC ID by PECOS | 0345223475 |
| Professional Enrollment ID | I20040610000512 |
| Full Name | Edit K Masaba |
| Organization Legal Name | MEDICAL DIRECTOR SERVICES PC |
| Address |
4573 State Route 40 Argyle NY 12809-3474 |
| Phone Number | 5186388274 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1977 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0042501116 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330191 | GLENS FALLS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4573 State Route 40, Argyle, NY 12809-3474 | 5186388274 | MEDICAL DIRECTOR SERVICES PC |
| Organization Legal Name | MEDICAL DIRECTOR SERVICES PC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Shea | Nurse Practitioner | Medical Director Services PC | 2850 Springdale Rd Sw, Atlanta, GA 30315-7802 |
| Deinma Ibulubo | Nurse Practitioner | Medical Director Services PC | 612 Allerton Ave, Bronx, NY 10467-7404 |
| Jackline B Ngalame | Nurse Practitioner | Medical Director Services PC | 217 E Ave, Minoa, NY 13116-1205 |
| Pamela Renee Bethel-wilson | Nurse Practitioner | Medical Director Services PC | 50 Sheffield Ave, Brooklyn, NY 11207-2420 |
| Jaya Francis Mathew | Nurse Practitioner | Medical Director Services PC | 12 Tibbits Ave, White Plains, NY 10606-2438 |
| Seeta Ganpat | Nurse Practitioner | Medical Director Services PC | 19544 Woodhull Ave, Hollis, NY 11423-2982 |
| Hardik I Patel | Family Medicine | Medical Director Services PC | 1045 W St, Carthage, NY 13619-9762 |
| Anna Lidia Wojtaszek | Nurse Practitioner | Medical Director Services PC | 3062 County Complex Dr, Canandaigua, NY 14424-9502 |
| Nazia Habib | Internal Medicine | Medical Director Services PC | 526 Altamont Ave, Schenectady, NY 12303-1039 |
| Thomas F Kandora | Internal Medicine | Medical Director Services PC | 17 Madison St, Granville, NY 12832-1221 |
| Street Address |
4573 STATE ROUTE 40 |
| City | ARGYLE |
| State | NY |
| Zip | 12809-3474 |
| City | ARGYLE |
| Zip Code | 12809 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ARGYLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Edit K Masaba.
| 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.