Tyler D Madore (NPI# 1639696628, PAC ID# 1759615792) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1639696628 |
| PAC ID by PECOS | 1759615792 |
| Professional Enrollment ID | I20190626000516 |
| Full Name | Tyler D Madore |
| Organization Legal Name | FAMILY SERVICE LEAGUE INC |
| Address |
7555 Main Rd Mattituck NY 11952-1516 |
| Phone Number | 6312988642 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4284524448 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7555 Main Rd, Mattituck, NY 11952-1516 | 6312988642 | FAMILY SERVICE LEAGUE INC |
| 51 Rose St, Smithtown, NY 11787-1052 | 6319793498 | LONG ISLAND ELDER CARE LCSW PLLC |
| Organization Legal Name | FAMILY SERVICE LEAGUE INC |
| Physicians | 78 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy C Dittler | Nurse Practitioner | Family Service League Inc | 208 Roanoke Ave, Riverhead, NY 11901-2706 |
| Pamela A Babcock | Clinical Social Worker | Family Service League Inc | 7555 Main Rd, Mattituck, NY 11952-1516 |
| Gregory H Reynolds | Clinical Social Worker | Family Service League Inc | 40 Main Sreet, Westhampton Beach, NY 11978 |
| Joseph C Roccosalvo | Clinical Social Worker | Family Service League Inc | 55 Horizon Dr, Huntington, NY 11743-4436 |
| Tiffany M Salzillo | Nurse Practitioner | Family Service League Inc | 1444 5th Ave, Bay Shore, NY 11706-4147 |
| Kinga Koreh | Psychiatry | Family Service League Inc | 316 Accabonac Rd, East Hampton, NY 11937-1932 |
| Jessica Aquino | Clinical Social Worker | Family Service League Inc | 320 Carleton Ave, Fl 8, Central Islip, NY 11722-4506 |
| Maged S Soliman | Psychiatry | Family Service League Inc | 790 Park Ave, Huntington, NY 11743-4516 |
| Patricia A Hartley-ferrandino | Clinical Social Worker | Family Service League Inc | 90 Adams Ave, Hauppauge, NY 11788-3631 |
| Robert Colucci | Psychiatry | Family Service League Inc | 1235 Montauk Hwy, Mastic, NY 11950-2917 |
| Street Address |
7555 MAIN RD |
| City | MATTITUCK |
| State | NY |
| Zip | 11952-1516 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela A Babcock | Clinical Social Worker | Family Service League Inc | 7555 Main Rd, Mattituck, NY 11952-1516 |
| Jeanine M Warns | Clinical Social Worker | Family Service League Inc | 7555 Main Rd, Mattituck, NY 11952-1516 |
| Francesca Levoci | Clinical Social Worker | Family Service League Inc | 7555 Main Rd, Mattituck, NY 11952-1516 |
| Lee B Staebler | Physical Therapy | 7555 Main Rd, Mattituck, NY 11952-1516 | |
| Caroline Valenta Gatewood | Neurology | 7555 Main Rd, Mattituck, NY 11952-1516 | |
| Christopher J Callahan | Clinical Social Worker | Family Service League Inc | 7555 Main Rd, Mattituck, NY 11952-1516 |
| Valerie Silverman Harmon | Nurse Practitioner | Family Service League Inc | 7555 Main Rd, Mattituck, NY 11952-1516 |
| Karen L Malcomson | Nurse Practitioner | Family Service League Inc | 7555 Main Rd, Mattituck, NY 11952-1516 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luigi Buono | Family Medicine | Peconic Bay Primary Medical Care PC | 7905 Main Rd, Mattituck, NY 11952-1518 |
| Viola Quintero | Clinical Social Worker | 11700 Main Rd, Suite 4, Mattituck, NY 11952-1525 | |
| David H Eilbert | Optometry | 10095 Main Rd, 2w, Mattituck, NY 11952-1658 | |
| James Hinsch | Chiropractic | 14825 Main Rd, Mattituck, NY 11952-2327 | |
| Sara A Cerrone | Internal Medicine | Peconic Bay Primary Medical Care PC | 13400 Main Rd, Mattituck, NY 11952-3209 |
| Marc Puchir | Internal Medicine | Peconic Bay Primary Medical Care PC | 13400 Main Rd, Mattituck, NY 11952-3209 |
| Denise M Karavas | Physician Assistant | Peconic Bay Primary Medical Care PC | 13400 Main Rd, Mattituck, NY 11952-3209 |
| Vishnudat Seodat | Family Medicine | Peconic Bay Primary Medical Care PC | 13400 Main Rd, Mattituck, NY 11952-3209 |
| Steven Spiegel | Internal Medicine | Peconic Bay Primary Medical Care PC | 13400 Main Rd, Mattituck, NY 11952-3209 |
| Richard Kubiak | Internal Medicine | Peconic Bay Primary Medical Care PC | 13400 Main Rd, Mattituck, NY 11952-3209 |
| Find all physicians in zip 11952 | |||
| City | MATTITUCK |
| Zip Code | 11952 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | MATTITUCK + 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.