Michelle Elise Moreno (NPI# 1013426683, PAC ID# 1456612266) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1013426683 |
| PAC ID by PECOS | 1456612266 |
| Professional Enrollment ID | I20180219000375 |
| Full Name | Michelle Elise Moreno |
| Organization Legal Name | PROHEALTH URGENT CARE MEDICINE PLLC |
| Address |
555 N Broadway Jericho NY 11753-2134 |
| Phone Number | 5165975070 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8628299518 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 555 N Broadway, Jericho, NY 11753-2134 | 5165975070 | PROHEALTH URGENT CARE MEDICINE PLLC |
| Organization Legal Name | PROHEALTH URGENT CARE MEDICINE PLLC |
| Physicians | 86 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yelena Davydova | Family Medicine | Prohealth Urgent Care Medicine Pllc | 3448 Nostrand Ave, Brooklyn, NY 11229-5107 |
| Jennifer R. Osbourne | Family Medicine | Prohealth Urgent Care Medicine Pllc | 330 Court St, Brooklyn, NY 11231-4334 |
| Philip Degaetano | Family Medicine | Prohealth Urgent Care Medicine Pllc | 148 Merrick Rd, Amityville, NY 11701-3439 |
| Tricia Narine | Family Medicine | Prohealth Urgent Care Medicine Pllc | 1074 Old Country Rd, Plainview, NY 11803-4918 |
| Jessica M Chin Tan | Family Medicine | Prohealth Urgent Care Medicine Pllc | 13201 14th Ave, College Point, NY 11356-2044 |
| Jennifer Susan Khachadurian | Family Medicine | Prohealth Urgent Care Medicine Pllc | 254 -21 Nassau Blvd, Little Neck, NY 11362 |
| Lillian Carolina | Family Medicine | Prohealth Urgent Care Medicine Pllc | 257 W Park Ave, Long Beach, NY 11561-3222 |
| Charles Haddon Elijah Sadaphal | Emergency Medicine | Prohealth Urgent Care Medicine Pllc | 1158 Broadway, Hewlett, NY 11557-2302 |
| James P Spencer | Emergency Medicine | Prohealth Urgent Care Medicine Pllc | 1049 Morris Park Ave, Bronx, NY 10461-1410 |
| Adam D Fiterstein | Emergency Medicine | Prohealth Urgent Care Medicine Pllc | 255 Union Tpke, Glen Oaks, NY 11004 |
| Street Address |
555 N BROADWAY |
| City | JERICHO |
| State | NY |
| Zip | 11753-2134 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott J Flashner | Emergency Medicine | Prohealth Urgent Care Medicine Pllc | 555 N Broadway, Jericho, NY 11753-2134 |
| Brittany L. O'gara | Physician Assistant | Prohealth Urgent Care Medicine Pllc | 555 N Broadway, Jericho, NY 11753-2134 |
| Diane M Sixsmith | Emergency Medicine | Prohealth Urgent Care Medicine Pllc | 555 N Broadway, Jericho, NY 11753-2134 |
| Justin A Lacorte | Pediatric Medicine | Prohealth Urgent Care Medicine Pllc | 555 N Broadway, Jericho, NY 11753-2134 |
| Chelsea Rios | Physician Assistant | Prohealth Urgent Care Medicine Pllc | 555 N Broadway, Jericho, NY 11753-2134 |
| Andrew Liang | Physician Assistant | Prohealth Urgent Care Medicine Pllc | 555 N Broadway, Jericho, NY 11753-2134 |
| Jeffrey E Horwitz | Emergency Medicine | Prohealth Urgent Care Medicine Pllc | 555 N Broadway, Jericho, NY 11753-2134 |
| Ekaterina Aronov | Physician Assistant | Prohealth Urgent Care Medicine Pllc | 555 N Broadway, Jericho, NY 11753-2134 |
| Alison E Suarez | Emergency Medicine | Prohealth Urgent Care Medicine Pllc | 555 N Broadway, Jericho, NY 11753-2134 |
| Cesar Fortes | Emergency Medicine | Prohealth Urgent Care Medicine Pllc | 555 N Broadway, Jericho, NY 11753-2134 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard S Keohane | Physical Therapy | 55 Jericho Tpke, Suite 102, Jericho, NY 11753-1013 | |
| Amir Milad Hanna | Physical Therapy | 55 Jericho Tpke, Suite 306, Jericho, NY 11753-1013 | |
| Fredy Ho | Physical Therapy | Jericho Wellness LLC | 55 Jericho Tpke, Suite 102, Jericho, NY 11753-1013 |
| Adam J Schneider | Neurology | Adam J Schneider Md PC | 99 Jericho Tpke, Suite 206, Jericho, NY 11753-1015 |
| Lawrence A. Smiley | General Practice | 99 Jericho Tpke, Suite 202, Jericho, NY 11753-1015 | |
| Marco L Palermo | Physical Therapy | 99 Jericho Tpke, Suite 305, Jericho, NY 11753-1015 | |
| Scott P Bloom | Family Medicine | 99 Jericho Tpke, Suite 206, Jericho, NY 11753-1015 | |
| Alan A Mazurek | Neurology | Adam J Schneider Md PC | 99 Jericho Tpke, Suite 206, Jericho, NY 11753-1015 |
| Richard P Grucela | Physical Therapy | 33 S Service Rd, Suite 119, Jericho, NY 11753-1036 | |
| Mark Kwalbrun | Diagnostic Radiology | Ali M Gharagozloo Md PC | 27 Club Dr S, Jericho, NY 11753-1132 |
| Find all physicians in zip 11753 | |||
| City | JERICHO |
| Zip Code | 11753 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | JERICHO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Michelle Elise Moreno.
| 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.