Joanne Detore (NPI# 1396724894, PAC ID# 4183718042) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1396724894 |
| PAC ID by PECOS | 4183718042 |
| Professional Enrollment ID | I20070922000045 |
| Full Name | Joanne Detore |
| Organization Legal Name | GLENS FALLS HOSPITAL INC |
| Address |
2 Broad St Plz Glens Falls NY 12801-4369 |
| Phone Number | 5189261770 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8325955974 |
| Number of Group Practice Members | 151 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330191 | GLENS FALLS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2 Broad St Plz, Glens Falls, NY 12801-4369 | 5189261770 | GLENS FALLS HOSPITAL INC |
| 2 Broad St Plz, Fl 1, Glens Falls, NY 12801-4369 | 5189261380 | GLENS FALLS HOSPITAL INC |
| 79 N St, Gransville Family Health, Granville, NY 12832-1137 | 5186420612 | GLENS FALLS HOSPITAL INC |
| 1134 State Route 29, Greenwich, NY 12834-6107 | 5186929861 | GLENS FALLS HOSPITAL INC |
| Organization Legal Name | GLENS FALLS HOSPITAL INC |
| Physicians | 160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katelyn J Walker | Nurse Practitioner | Glens Falls Hospital Inc | 35 Gilbert St, Cambridge, NY 12816-2618 |
| Robert J French | Physician Assistant | Glens Falls Hospital Inc | 135 N Rd, Wilton Family Medicine, Wilton, NY 12831-1308 |
| Marena Euashachai | Family Medicine | Glens Falls Hospital Inc | 13 Palmer Ave, Corinth, NY 12822-1145 |
| Kristen Kelley | Family Medicine | Glens Falls Hospital Inc | 1134 State Route 29, Greenwich, NY 12834-6107 |
| Harry H Slatch | Urology | Glens Falls Hospital Inc | 102 Park St, Glens Falls, NY 12801-4403 |
| Phyllis A Broege | Psychologist, Clinical | Glens Falls Hospital Inc | 2 Country Club Rd, Queensbury, NY 12804-1702 |
| David A Judkins | Cardiovascular Disease (cardiology) | Glens Falls Hospital Inc | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 |
| Michael T Lieberth | General Surgery | Glens Falls Hospital Inc | 14 Hudson Ave, Glens Falls, NY 12801-4448 |
| Kerin M Devlin | Nurse Practitioner | Glens Falls Hospital Inc | 65 Poultney St, Whitehall, NY 12887-1543 |
| Sean M Kennedy | Otolaryngology | Glens Falls Hospital Inc | 2 Broad St Plz, Glens Falls, NY 12801-4369 |
| Street Address |
2 BROAD ST PLZ |
| City | GLENS FALLS |
| State | NY |
| Zip | 12801-4369 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean M Kennedy | Otolaryngology | Glens Falls Hospital Inc | 2 Broad St Plz, Glens Falls, NY 12801-4369 |
| Kyle T Osborn | Family Medicine | Glens Falls Hospital Inc | 2 Broad St Plz, Glens Falls, NY 12801-4369 |
| Richard A Hughes Jr. | Otolaryngology | Glens Falls Hospital Inc | 2 Broad St Plz, Glens Falls, NY 12801-4369 |
| Matthew Dickson | Otolaryngology | Glens Falls Hospital Inc | 2 Broad St Plz, Glens Falls, NY 12801-4369 |
| Howard J Ritz | Physician Assistant | Glens Falls Hospital Inc | 2 Broad St Plz, Glens Falls, NY 12801-4369 |
| Joanne L Cooper | Physician Assistant | Glens Falls Hospital Inc | 2 Broad St Plz, Glens Falls, NY 12801-4369 |
| Raju A Sadal | Physician Assistant | Glens Falls Hospital Inc | 2 Broad St Plz, Glens Falls, NY 12801-4369 |
| William G Rohan | Internal Medicine | Glens Falls Hospital Inc | 2 Broad St Plz, Glens Falls, NY 12801-4369 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cara A Bedore | Qualified Audiologist | Susan Boggia Audiology, PC | 318 Ridge St, Glens Falls, NY 12801-1552 |
| Susan C Boggia | Qualified Audiologist | Susan Boggia Audiology, PC | 318 Ridge St, Glens Falls, NY 12801-1552 |
| Debra J Pietrangelo | Psychologist, Clinical | 499 Glen St, Glens Falls, NY 12801-2205 | |
| Lynn M Edgerly | Clinical Social Worker | 499 Glen St, Glens Falls, NY 12801-2205 | |
| Brenda J Arley | Certified Clinical Nurse Specialist (cns) | 499 Glen St, Glens Falls, NY 12801-2205 | |
| Joseph Mckay | Clinical Social Worker | 498 Glen St, Glens Falls, NY 12801-2230 | |
| Peter M Hughes | Urology | 526 Glen St, Glens Falls, NY 12801-2232 | |
| Terry L Walton | Optometry | Terry L Walton Doctor of Optometry PC | 575 Glen St, Box 2071, Glens Falls, NY 12801-2243 |
| Brenda M Dobie | Optometry | Adirondack Eye Physicians and Surgeons PC | 152 Bay St, Glens Falls, NY 12801-2329 |
| Richard S Price | Optometry | Adirondack Eye Physicians and Surgeons PC | 152 Bay St, Glens Falls, NY 12801-2329 |
| Find all physicians in zip 12801 | |||
| City | GLENS FALLS |
| Zip Code | 12801 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GLENS FALLS + PHYSICIAN ASSISTANT |
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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.