Haidy A Marzouk (NPI# 1225204274, PAC ID# 4486832342) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1225204274 |
| PAC ID by PECOS | 4486832342 |
| Professional Enrollment ID | I20110623000156 |
| Full Name | Haidy A Marzouk |
| Organization Legal Name | UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP |
| Address |
4304 Medical Ctr Dr Fayetteville NY 13066-6625 |
| Phone Number | 3153297350 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 0941109789 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330241 | UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4304 Medical Ctr Dr, Fayetteville, NY 13066-6625 | 3153297350 | UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP |
| 750 E Adams St, Syracuse, NY 13210-2306 | 3154644633 | UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP |
| Organization Legal Name | UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony J Mortelliti | Otolaryngology | University Otolaryngology Associates of Central New York, LLP | 4304 Medical Ctr Dr, Fayetteville, NY 13066-6625 |
| Jacob S Feldman | Otolaryngology | University Otolaryngology Associates of Central New York, LLP | 750 E Adams St, Syracuse, NY 13210-2306 |
| Kirsten L Manganiello | Nurse Practitioner | University Otolaryngology Associates of Central New York, LLP | 750 E Adams St, Syracuse, NY 13210-2306 |
| Mitchell R Gore | Otolaryngology | University Otolaryngology Associates of Central New York, LLP | 750 E Adams St, Syracuse, NY 13210-2306 |
| Amar Suryadevara | Otolaryngology | University Otolaryngology Associates of Central New York, LLP | 4304 Medical Ctr Dr, Fayetteville, NY 13066-6625 |
| Jesse T Ryan | Otolaryngology | University Otolaryngology Associates of Central New York, LLP | 750 E Adams St, Syracuse, NY 13210-2306 |
| Richard T Kelley | Otolaryngology | University Otolaryngology Associates of Central New York, LLP | 750 E Adams St, Syracuse, NY 13210-2306 |
| Macee N Bonoffski | Qualified Audiologist | University Otolaryngology Associates of Central New York, LLP | 750 E Adams St, Syracuse, NY 13210-2306 |
| Mark F Marzouk | Otolaryngology | University Otolaryngology Associates of Central New York, LLP | 750 E Adams St, Syracuse, NY 13210-2306 |
| Charles I Woods | Otolaryngology | University Otolaryngology Associates of Central New York, LLP | 750 E Adams St, Syracuse, NY 13210-2306 |
| Street Address |
4304 MEDICAL CTR DR |
| City | FAYETTEVILLE |
| State | NY |
| Zip | 13066-6625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony J Mortelliti | Otolaryngology | University Otolaryngology Associates of Central New York, LLP | 4304 Medical Ctr Dr, Fayetteville, NY 13066-6625 |
| Amar Suryadevara | Otolaryngology | University Otolaryngology Associates of Central New York, LLP | 4304 Medical Ctr Dr, Fayetteville, NY 13066-6625 |
| Sherard A Tatum | Otolaryngology | University Otolaryngology Associates of Central New York, LLP | 4304 Medical Ctr Dr, Fayetteville, NY 13066-6625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert M Kellman | Otolaryngology | St Josephs Medical PC | 4100 Medical Ctr Dr, Suite 117, Fayetteville, NY 13066 |
| Francis J Durgin | Psychiatry | 6836 E Genesee St, Fayetteville, NY 13066-1024 | |
| Patricia G Barletta | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
| Alyssa Bovalino | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
| Jason E Falcone | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
| Glenn J Gilberg | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
| Joseph Novek | Podiatry | 6950 E Genesee St, Fayetteville, NY 13066-1036 | |
| Michael A Giordano | Chiropractic | 6858 E Genesee St, The Family Chiro Ctr, Fayetteville, NY 13066-1051 | |
| Stanton Tepfer | Optometry | Empire Vision Center Inc | 6859 E Genesee St, Fayetteville, NY 13066-1086 |
| Taryn A Bader | Physical Therapy | Onondaga Physical Therapy, LLC | 6800 E Genesee St, Fayetteville, NY 13066-1089 |
| Find all physicians in zip 13066 | |||
| City | FAYETTEVILLE |
| Zip Code | 13066 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | FAYETTEVILLE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Haidy A Marzouk.
| 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.