Hollie U Mandiberg (NPI# 1558572909, PAC ID# 3678545548) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1558572909 |
| PAC ID by PECOS | 3678545548 |
| Professional Enrollment ID | I20040811000233 |
| Full Name | Hollie U Mandiberg |
| Organization Legal Name | STAT HEALTH IMMEDIATE MEDICAL CARE PC |
| Address |
1930 Deer Park Ave Deer Park NY 11729-3328 |
| Phone Number | 6312545900 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1355377789 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1930 Deer Park Ave, Deer Park, NY 11729-3328 | 6312545900 | STAT HEALTH IMMEDIATE MEDICAL CARE PC |
| 519 W Jericho Tpke, Smithtown, NY 11787-2619 | 6313605900 | STAT HEALTH IMMEDIATE MEDICAL CARE PC |
| Organization Legal Name | STAT HEALTH IMMEDIATE MEDICAL CARE PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jillian M Peragallo | Physician Assistant | Stat Health Immediate Medical Care PC | 996 Middle Country Rd, Selden, NY 11784-2511 |
| Teresa Rainone | Emergency Medicine | Stat Health Immediate Medical Care PC | 4724 Nesconset Hwy, Port Jefferson Station, NY 11776-2580 |
| Evan M Meiner | Emergency Medicine | Stat Health Immediate Medical Care PC | 519 W Jericho Tpke, Smithtown, NY 11787-2619 |
| Michael Franklin | Emergency Medicine | Stat Health Immediate Medical Care PC | 519 W Jericho Tpke, Smithtown, NY 11787-2619 |
| Carol A Palmieri | Emergency Medicine | Stat Health Immediate Medical Care PC | 519 W Jericho Tpke, Smithtown, NY 11787-2619 |
| Street Address |
1930 DEER PARK AVE |
| City | DEER PARK |
| State | NY |
| Zip | 11729-3328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen P Havasy | Emergency Medicine | City Medical of Upper East Side Pllc | 1930 Deer Park Ave, Deer Park, NY 11729-3328 |
| John E Shallat | Emergency Medicine | City Medical of Upper East Side Pllc | 1930 Deer Park Ave, Deer Park, NY 11729-3328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Rosenhouse | Physical Therapy | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | |
| Charles Ruotolo | Orthopedic Surgery | Orthopaedics Spine and Sports Medicine LLC | 2103 Deer Park Ave, Deer Park, NY 11729-1319 |
| Diana M Salgado | Physician Assistant | Mark Medical Care, Pllc | 2103 Deer Park Ave, Deer Park, NY 11729-1319 |
| Rocio A Romero | Physician Assistant | Mark Medical Care, Pllc | 2103 Deer Park Ave, Deer Park, NY 11729-1319 |
| Salvatore R Principe | Chiropractic | 420 Old Country Rd, Deer Park, NY 11729-1322 | |
| Paul P Tchao | Internal Medicine | 2043 Deer Park Ave, Deer Park, NY 11729-2110 | |
| Jack Nass | Psychiatry | 2100 Deer Park Ave, Suite 8, Deer Park, NY 11729-2119 | |
| Marta Teresa Silva | Psychologist, Clinical | 2100 Deer Park Ave, Suite 7, Deer Park, NY 11729-2119 | |
| Francine Dimaria | Family Medicine | 2090 Deer Park Ave, Deer Park, NY 11729-2129 | |
| Jeanine H Goldsmith | Clinical Social Worker | 2070 Deer Park Ave, Suite D, Deer Park, NY 11729-2134 | |
| Find all physicians in zip 11729 | |||
| City | DEER PARK |
| Zip Code | 11729 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DEER PARK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Hollie U Mandiberg.
| 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.