Sandra C Agredo (NPI# 1003957929, PAC ID# 0547307258) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1003957929 |
| PAC ID by PECOS | 0547307258 |
| Professional Enrollment ID | I20091029000483 |
| Full Name | Sandra C Agredo |
| Organization Legal Name | SERVICE PROGRAM FOR OLDER PEOPLE INC |
| Address |
1484 1st Ave New York NY 10075-2304 |
| Phone Number | 2127877120 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2668373135 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1484 1st Ave, New York, NY 10075-2304 | 2127877120 | SERVICE PROGRAM FOR OLDER PEOPLE INC |
| Organization Legal Name | SERVICE PROGRAM FOR OLDER PEOPLE INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amelia Paris | Clinical Social Worker | Service Program for Older People Inc | 302 W 91st St, New York, NY 10024-1011 |
| Eeva J Mikkola | Psychiatry | Service Program for Older People Inc | 197 E Broadway, New York, NY 10002-5507 |
| Lauren Taylor | Clinical Social Worker | Service Program for Older People Inc | 415 E 73rd St, New York, NY 10021-3827 |
| Jessica D Knapp | Clinical Social Worker | Service Program for Older People Inc | 302 W 91st St, New York, NY 10024-1011 |
| Jeannette M Kossuth | Clinical Social Worker | Service Program for Older People Inc | 302 W 91st St, New York, NY 10024-1011 |
| Anet Ruperto | Clinical Social Worker | Service Program for Older People Inc | 1484 1st Ave, New York, NY 10075-2304 |
| Heather A Mueller | Nurse Practitioner | Service Program for Older People Inc | 302 W 91st St, New York, NY 10024-1011 |
| Teresa M Theophano | Clinical Social Worker | Service Program for Older People Inc | 302 W 91st St, New York, NY 10024-1011 |
| Nydawattie Nanjad | Clinical Social Worker | Service Program for Older People Inc | 302 W 91st St, New York, NY 10024-1011 |
| Marc J Raybin | Clinical Social Worker | Service Program for Older People Inc | 302 W 91st St, New York, NY 10024-1011 |
| Street Address |
1484 1ST AVE |
| City | NEW YORK |
| State | NY |
| Zip | 10075-2304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sanjai Sinha | Internal Medicine | Weill Medical College of Cornell | 1484 1st Ave, Fl 2, New York, NY 10075-2304 |
| Anet Ruperto | Clinical Social Worker | Service Program for Older People Inc | 1484 1st Ave, New York, NY 10075-2304 |
| Sara S. Valentine | Clinical Social Worker | Service Program for Older People | 1484 1st Ave, New York, NY 10075-2304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Marie Conroy | Cardiovascular Disease (cardiology) | North Shore-lij Medical PC | 130 Est 77th St, 9th Floor Black Hall, New York, NY 10075 |
| Erin R Mackinnon | Nurse Practitioner | North Shore-lij Medical PC | 130 Est 77th St, 9th Floor Black Hall, New York, NY 10075 |
| Yiming Yang | Interventional Cardiology | North Shore-lij Medical PC | 130 Est 77th St, 9th Floor Black Hall, New York, NY 10075 |
| Daryl B Gioffre | Chiropractic | 16 E 79th St, Ground Floor G4, New York, NY 10075-0106 | |
| Beth F Appel | Podiatry | 19 E 80th St, New York, NY 10075-0117 | |
| Stuart Orsher | Internal Medicine | 9 E 79th St, New York, NY 10075-0123 | |
| Leon K Demar | Dermatology | 985 5th Ave, New York, NY 10075-0142 | |
| Monica Halem | Dermatology | 988 5th Ave, New York, NY 10075-0143 | |
| Paul E Schneck | Psychiatry | 16 E 79th St, Office 35 Third Floor, New York City, NY 10075-0150 | |
| Diane G Tanenbaum | Dermatology | 16 E 79th St, Suite 22, New York, NY 10075-0150 | |
| Find all physicians in zip 10075 | |||
| City | NEW YORK |
| Zip Code | 10075 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | NEW YORK + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Sandra C Agredo.
| 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.