Diane Gavares (NPI# 1780995316, PAC ID# 1355625328) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1780995316 |
| PAC ID by PECOS | 1355625328 |
| Professional Enrollment ID | I20170313000764 |
| Full Name | Diane Gavares |
| Address |
3 Middle Cross Shoreham NY 11786-1441 |
| Phone Number | 6317075402 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 3 Middle Cross, Shoreham, NY 11786-1441 | 6317075402 |
| Street Address |
3 MIDDLE CROSS |
| City | SHOREHAM |
| State | NY |
| Zip | 11786-1441 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Faye Stoebe | Physician Assistant | Peconic Bay Primary Medical Care PC | 54 Woodville Rd, Shoreham, NY 11786-1331 |
| Cynthia Carlson | Family Medicine | Peconic Bay Primary Medical Care PC | 54 Woodville Rd, Shoreham, NY 11786-1331 |
| Agostino Cervone | General Surgery | Peconic Bay Primary Medical Care PC | 54 Woodville Rd, Shoreham, NY 11786-1331 |
| Andrew Ribaudo | Physician Assistant | Peconic Bay Primary Medical Care PC | 54 Woodville Rd, Shoreham, NY 11786-1331 |
| George R Ruggiero | Family Practice | Peconic Bay Primary Medical Care PC | 54 Woodville Rd, Shoreham, NY 11786-1331 |
| Owen T Yen | Cardiovascular Disease (cardiology) | 45 Route 25a, Shoreham, NY 11786-1389 | |
| Mary Lee Hasbrouck | Clinical Social Worker | 45 Route 25a, Suite A2, Shoreham, NY 11786-1389 | |
| Jeffrey Kraushaar | Optometry | Soundview Optometry Pllc | 45 Route 25a, Suite F, Shoreham, NY 11786-1389 |
| Justin D Kraushaar | Optometry | Soundview Optometry Pllc | 45 Route 25a, Suite F, Shoreham, NY 11786-1389 |
| Robert Thomas Badalian | Chiropractic | 21 Miller Ave, Shoreham, NY 11786-1803 | |
| Find all physicians in zip 11786 | |||
| City | SHOREHAM |
| Zip Code | 11786 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | SHOREHAM + CLINICAL SOCIAL WORKER |
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| 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.