Jose G Irizarry (NPI# 1679565261, PAC ID# 1052430782) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1679565261 |
| PAC ID by PECOS | 1052430782 |
| Professional Enrollment ID | I20101006000266 |
| Full Name | Jose G Irizarry |
| Organization Legal Name | GREEN MOUNTAIN FAMILY PODIATRY PC |
| Address |
212 Broadway Whitehall NY 12887-1639 |
| Phone Number | 5184999264 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 9133230170 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330191 | GLENS FALLS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 212 Broadway, Whitehall, NY 12887-1639 | 5184999264 | GREEN MOUNTAIN FAMILY PODIATRY PC |
| Organization Legal Name | GREEN MOUNTAIN FAMILY PODIATRY PC |
| Physicians | 1 |
| Street Address |
212 BROADWAY |
| City | WHITEHALL |
| State | NY |
| Zip | 12887-1639 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kerin M Devlin | Nurse Practitioner | Glens Falls Hospital Inc | 65 Poultney St, Whitehall, NY 12887-1543 |
| Matthew S Brown | Nurse Practitioner | Glens Falls Hospital Inc | 65 Poultney St, Whitehall, NY 12887-1543 |
| City | WHITEHALL |
| Zip Code | 12887 |
| Specialty | PODIATRY |
| City + Specialty | WHITEHALL + PODIATRY |
Please comment or provide details below to improve the information on Jose G Irizarry.
| 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.