Maurice Alisse (NPI# 1730130386, PAC ID# 0648272310) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1730130386 |
| PAC ID by PECOS | 0648272310 |
| Professional Enrollment ID | I20070208000472 |
| Full Name | Maurice Alisse |
| Organization Legal Name | CRYSTAL RUN MEDICAL SERVICES PC |
| Address |
236 Crystal Run Rd Suite 2 Middletown NY 10941-4061 |
| Phone Number | 8456923100 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1990 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5395781249 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330126 | ORANGE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 236 Crystal Run Rd, Suite 2, Middletown, NY 10941-4061 | 8456923100 | CRYSTAL RUN MEDICAL SERVICES PC |
| 99 Hawkins Dr, Unit 3b, Montgomery, NY 12549-2625 | 8454574035 | CRYSTAL RUN MEDICAL SERVICES PC |
| Organization Legal Name | CRYSTAL RUN MEDICAL SERVICES PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Rose Flanagan | Physician Assistant | Crystal Run Medical Services PC | 236 Crystal Run Rd, Suite 2, Middletown, NY 10941-4061 |
| Raymond S Basri | Internal Medicine | Crystal Run Medical Services PC | 236 Crystal Run Rd, Suite 2, Middletown, NY 10941-4061 |
| Street Address |
236 CRYSTAL RUN RD SUITE 2 |
| City | MIDDLETOWN |
| State | NY |
| Zip | 10941-4061 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Rose Flanagan | Physician Assistant | Crystal Run Medical Services PC | 236 Crystal Run Rd, Suite 2, Middletown, NY 10941-4061 |
| Raymond S Basri | Internal Medicine | Crystal Run Medical Services PC | 236 Crystal Run Rd, Suite 2, Middletown, NY 10941-4061 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard L Stoll Iii | Diagnostic Radiology | Upstate Radiology PC | 779 Route 211 E, Middletown, NY 10941-1459 |
| Mark Fenzl | Diagnostic Radiology | Upstate Radiology PC | 779 Route 211 E, Middletown, NY 10941-1459 |
| Kajal Saha | Neurosurgery | 701 Silver Lake Scotchtown Rd, Middletown, NY 10941-1539 | |
| Michael Lance Wodka | Podiatry | 30 Industrial Dr, Middletown, NY 10941-1662 | |
| Walter E Tonyes | Chiropractic | 633 Route 211 E, Middletown, NY 10941-1780 | |
| Bela A Gesztesi Iii | Physical Therapy | 633 Route 211 E, Suite 2, Middletown, NY 10941-1781 | |
| Joseph Norowitz | Optometry | 1 N Galleria Dr, Suite 126, Middletown, NY 10941-3028 | |
| Diana Rubin | Clinical Social Worker | 6 Country Side Ct, Middletown, NY 10941-3161 | |
| Stanley M Goldstein | Psychologist, Clinical | 1050 Route 211 E, Middletown, NY 10941-3726 | |
| Mahmoud Salem | Hospitalist | Crystal Run Healthcare Physicians LLP | 300 Crystal Run Rd, Middletown, NY 10941-4013 |
| Find all physicians in zip 10941 | |||
| City | MIDDLETOWN |
| Zip Code | 10941 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MIDDLETOWN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Maurice Alisse.
| 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.