Daniel N Valicenti
EAST SIDE PRIMARY CARE PROVIDENCE LLC


Address: 1195 N Main St, Fl 2, Providence, RI 02904-1824
Phone: 4018613782

Daniel N Valicenti (NPI# 1013901248, PAC ID# 3072579358) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1013901248
PAC ID by PECOS 3072579358
Professional Enrollment ID I20041208000601
Full Name Daniel N Valicenti
Organization Legal Name EAST SIDE PRIMARY CARE PROVIDENCE LLC
Address 1195 N Main St
Fl 2
Providence
RI 02904-1824
Phone Number 4018613782
Gender M
Credential MD
Medical School NEW YORK MEDICAL COLLEGE
Graduation Year 1992
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 1951689314
Number of Group Practice Members 2
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
410012 THE MIRIAM HOSPITAL
410004 ROGER WILLIAMS MEDICAL CENTER

Other Locations

Address Phone Organization
1195 N Main St, Fl 2, Providence, RI 02904-1824 4018613782 EAST SIDE PRIMARY CARE PROVIDENCE LLC

Organization Information

Organization Legal Name EAST SIDE PRIMARY CARE PROVIDENCE LLC
Physicians 1

Office Location

Street Address 1195 N MAIN ST
FL 2
City PROVIDENCE
State RI
Zip 02904-1824

Physicians in the same location

Name Specialty Organization Address
Frank M Dalessandro Internal Medicine Frank Michael D'alessandro Md Inc 1195 N Main St, Providence, RI 02904-1824
Sheik Amat Tijan Faye Physician Assistant East Side Urgent Care LLC 1195 N Main St, Providence, RI 02904-1824
Ian P Krouson Physician Assistant East Side Urgent Care LLC 1195 N Main St, Providence, RI 02904-1824
Carolyn K Mcgrath Emergency Medicine East Side Urgent Care LLC 1195 N Main St, Providence, RI 02904-1824

Physicians in the same zip code

Name Specialty Organization Address
Robert B Patterson Vascular Surgery 486 Silver Spring St, Providence, RI 02904-1556
Nishit Shah Colorectal Surgery (proctology) University Surgical Associates, Inc. 208 Collyer St, Suite 302, Providence, RI 02904-1560
Laurel A Gay Physician Assistant The Miriam Hospital 208 Collyer St, Suite 100, Providence, RI 02904-1560
Adam Klipfel Colorectal Surgery (proctology) University Surgical Associates, Inc. 208 Collyer St, Suite 302, Providence, RI 02904-1560
Fredric V Christian Cardiovascular Disease (cardiology) The Miriam Hospital 208 Collyer St, Suite 100, Providence, RI 02904-1560
Roger D Raymond Cardiovascular Disease (cardiology) The Miriam Hospital 208 Collyer St, Suite 100, Providence, RI 02904-1560
Michelle Kristen Finkelman Nurse Practitioner The Miriam Hospital 208 Collyer St, Suite 100, Providence, RI 02904-1560
Olivia Macaskill Nurse Practitioner The Miriam Hospital 208 Collyer St, Suite 100, Providence, RI 02904-1560
Susan P Emaus Physician Assistant The Miriam Hospital 208 Collyer St, Suite 100, Providence, RI 02904-1560
Kenneth S Korr Cardiovascular Disease (cardiology) The Miriam Hospital 208 Collyer St, Providence, RI 02904-1560
Find all physicians in zip 02904

Competitor

Search similar physicians

City PROVIDENCE
Zip Code 02904
Specialty INTERNAL MEDICINE
City + Specialty PROVIDENCE + INTERNAL MEDICINE

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Dataset Information

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.

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