Richard W Urbanek (NPI# 1043286065, PAC ID# 3779529342) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1043286065 |
| PAC ID by PECOS | 3779529342 |
| Professional Enrollment ID | I20050811001118 |
| Full Name | Richard W Urbanek |
| Organization Legal Name | CLARK DERMATOLOGY LLC |
| Address |
1324 Victory Blvd Staten Island NY 10301-3917 |
| Phone Number | 7184484488 |
| Gender | M |
| Credential | MD |
| Medical School | CORNELL UNIVERSITY MEDICAL COLLEGE |
| Graduation Year | 1972 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5395703573 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1324 Victory Blvd, Staten Island, NY 10301-3917 | 7184484488 | CLARK DERMATOLOGY LLC |
| Organization Legal Name | CLARK DERMATOLOGY LLC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela N Beckford | Dermatology | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| Elena Maydan | Dermatology | Clark Dermatology LLC | 703 Kearny Ave, Kearny, NJ 07032-3003 |
| Dafna Wild | Physician Assistant | Clark Dermatology LLC | 703 Kearny Ave, Kearny, NJ 07032-3003 |
| Jalpa Patel | Physician Assistant | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| Kristie Walton | Nurse Practitioner | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| Elizabeth A Walker | Nurse Practitioner | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| Matthew F. Rossano | Physician Assistant | Clark Dermatology LLC | 1324 Victory Blvd, Staten Island, NY 10301-3917 |
| Douglas J Pravda | Dermatology | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| Inga Bufano | Physician Assistant | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| L Robert Smith | Dermatology | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| Street Address |
1324 VICTORY BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip | 10301-3917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ilana Reich | Psychologist, Clinical | 1324 Victory Blvd, Suite A, Staten Island, NY 10301-3917 | |
| Matthew F. Rossano | Physician Assistant | Clark Dermatology LLC | 1324 Victory Blvd, Staten Island, NY 10301-3917 |
| Brittni Alexandra Kalyuzhny | Nurse Practitioner | Clark Dermatology LLC | 1324 Victory Blvd, Staten Island, NY 10301-3917 |
| Jeremy M Sommer | Physician Assistant | Clark Dermatology LLC | 1324 Victory Blvd, Staten Island, NY 10301-3917 |
| Albina Kroytor | Physician Assistant | Clark Dermatology LLC | 1324 Victory Blvd, Staten Island, NY 10301-3917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Ann Thompson | Clinical Social Worker | 120 Stuyvesant Pl, Suite 4, Staten Island, NY 10301-1992 | |
| Joann Leather | Clinical Social Worker | Staten Island Mental Health Society, Inc. | 669 Castleton Ave, Staten Island, NY 10301-2028 |
| James Reilly | Obstetrics/gynecology | 668 Castleton Ave, Staten Island, NY 10301-2044 | |
| Ulrika Holm | Obstetrics/gynecology | 539 Castleton Ave, Staten Island, NY 10301-2060 | |
| George Antoun | Physical Therapy | 110 Henderson Ave, Suite 720, Staten Island, NY 10301-2108 | |
| Susana Lourido | Psychiatry | Amboy Medical Practice PC | 110 Henderson Ave, Staten Island, NY 10301-2108 |
| Shevi Koschitzki | Physician Assistant | Synergy Health Medical Solutions PC | 110 Henderson Ave, Staten Island, NY 10301-2108 |
| Lucas S Ralston | Psychiatry | Amboy Medical Practice PC | 110 Henderson Ave, Staten Island, NY 10301-2108 |
| Salim Hussain | Psychiatry | Amboy Medical Practice PC | 110 Henderson Ave, Staten Island, NY 10301-2108 |
| Yasmin Nunez | Physician Assistant | Synergy Health Medical Solutions PC | 110 Henderson Ave, Staten Island, NY 10301-2108 |
| Find all physicians in zip 10301 | |||
| City | STATEN ISLAND |
| Zip Code | 10301 |
| Specialty | DERMATOLOGY |
| City + Specialty | STATEN ISLAND + DERMATOLOGY |
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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.