Michelle J Clark (NPI# 1497100408, PAC ID# 5294021200) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1497100408 |
| PAC ID by PECOS | 5294021200 |
| Professional Enrollment ID | I20170405000700 |
| Full Name | Michelle J Clark |
| Organization Legal Name | ELLIS HOSPITAL |
| Address |
216 Lafayette St Schenectady NY 12305-2408 |
| Phone Number | 5183863300 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 5890607410 |
| Number of Group Practice Members | 274 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330153 | ELLIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 216 Lafayette St, Schenectady, NY 12305-2408 | 5183863300 | ELLIS HOSPITAL |
| Organization Legal Name | ELLIS HOSPITAL |
| Physicians | 256 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miklos P Garczynski | Clinical Social Worker | Ellis Hospital | 216 Lafayette St, Schenectady, NY 12305-2408 |
| Neil Ekengren | Physician Assistant | Ellis Hospital | 200 Harborside Dr, Suite 102, Schenectady, NY 12305-1020 |
| Frank H Westad | Nurse Practitioner | Ellis Hospital | 2537 Route 9, Suite 203, Malta, NY 12020 |
| Mina Sun | Internal Medicine | Ellis Hospital | 115 Saratoga Rd, Glenville, NY 12302-4211 |
| Karyn B D Amico | Physician Assistant | Ellis Hospital | 1101 Nott St, Schenectady, NY 12308-2425 |
| Malene K Ingram | General Surgery | Ellis Hospital | 1101 Nott St, Schenectady, NY 12308-2425 |
| Marty Sample | Physician Assistant | Ellis Hospital | 1101 Nott St, Schenectady, NY 12308-2425 |
| Saddam S Abisse | Cardiovascular Disease (cardiology) | Ellis Hospital | 1101 Nott St, Schenectady, NY 12308-2425 |
| Alexander R Scaringe | Physician Assistant | Ellis Hospital | 1101 Nott St, Emergency Dept, Schenectady, NY 12308-2425 |
| Ralph S Feinstein | Family Medicine | Ellis Hospital | 1101 Nott St, Schenectady, NY 12308-2425 |
| Street Address |
216 LAFAYETTE ST |
| City | SCHENECTADY |
| State | NY |
| Zip | 12305-2408 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miklos P Garczynski | Clinical Social Worker | Ellis Hospital | 216 Lafayette St, Schenectady, NY 12305-2408 |
| David A Sturman | Psychiatry | Ellis Hospital | 216 Lafayette St, Schenectady, NY 12305-2408 |
| Lindsay M Zoller | Clinical Social Worker | Ellis Hospital | 216 Lafayette St, Schenectady, NY 12305-2408 |
| Eileen S Mcgachey | Clinical Social Worker | Ellis Hospital | 216 Lafayette St, Schenectady, NY 12305-2408 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neil Ekengren | Physician Assistant | Ellis Hospital | 200 Harborside Dr, Suite 102, Schenectady, NY 12305-1020 |
| Robert C Dicaprio Jr. | Podiatry | Mohawk Valley Podiatry PC | 1462 Erie Blvd, Suite A202, Schenectady, NY 12305-1026 |
| Timothy John Maggs | Chiropractic | 1462 Erie Blvd, Schenectady, NY 12305-1026 | |
| Alexa Eugena Cinque | Chiropractic | 252 Union St, Apt 1, Schenectady, NY 12305-1406 | |
| Ronald S Levine | Clinical Social Worker | 246 Union St, Schenectady, NY 12305-1406 | |
| Linda A Stump | Physical Therapy | Nysarc, Inc Schenectady Co Chapter | 214 State St, Schenectady, NY 12305-1806 |
| Jamila S Basharat | Qualified Speech Language Pathologist | Nysarc, Inc Schenectady Co Chapter | 214 State St, Schenectady, NY 12305-1806 |
| Louise D Snider | Physical Therapy | Nysarc, Inc Schenectady Co Chapter | 214 State St, Schenectady, NY 12305-1806 |
| Molly C Ruffo | Qualified Speech Language Pathologist | Nysarc, Inc Schenectady Co Chapter | 214 State St, Schenectady, NY 12305-1806 |
| Shelby F Horn | Occupational Therapy | Nysarc, Inc Schenectady Co Chapter | 214 State St, Schenectady, NY 12305-1806 |
| Find all physicians in zip 12305 | |||
| City | SCHENECTADY |
| Zip Code | 12305 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | SCHENECTADY + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Michelle J Clark.
| 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.