Quazi T Islam (NPI# 1023111879, PAC ID# 5890742605) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1023111879 |
| PAC ID by PECOS | 5890742605 |
| Professional Enrollment ID | I20050921000191 |
| Full Name | Quazi T Islam |
| Organization Legal Name | MARY IMOGENE BASSETT HOSPITAL |
| Address |
34 Chenango Ave Clinton NY 13323-1341 |
| Phone Number | 3158535550 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3779488325 |
| Number of Group Practice Members | 559 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330136 | BASSETT HEALTHCARE |
| 330044 | FAXTON-ST LUKE'S HEALTHCARE |
| 330245 | ST ELIZABETH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 34 Chenango Ave, Clinton, NY 13323-1341 | 3158535550 | MARY IMOGENE BASSETT HOSPITAL |
| Organization Legal Name | MARY IMOGENE BASSETT HOSPITAL |
| Physicians | 631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Gail Stark | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| Nomi-kaie Bennett | Psychologist, Clinical | Mary Imogene Bassett Hospital | 136 Pkwy Dr, Cobleskill, NY 12043-5150 |
| Sarah Hardy | Nurse Practitioner | Mary Imogene Bassett Hospital | 8 Park Pl, St Johnsville, NY 13452-1332 |
| Kristen A Herbst | Orthopedic Surgery | Mary Imogene Bassett Hospital | 1 Associate Dr, Oneonta, NY 13820-2266 |
| Taylen C Peaden | Family Practice | Mary Imogene Bassett Hospital | 170 Burwell St, Little Falls, NY 13365-1716 |
| Laura A Everett | Nurse Practitioner | Mary Imogene Bassett Hospital | 55 Calvary Dr, Norwich, NY 13815-1032 |
| Sarah M | Nurse Practitioner | Mary Imogene Bassett Hospital | 140 Burwell St, Little Falls, NY 13365-1725 |
| Patrick William Mannal | Plastic and Reconstructive Surgery | Mary Imogene Bassett Hospital | Greystone Commercial Park, 4580 State Route 28, Milford, NY 13807-1147 |
| Jennifer Oreilly | Family Medicine | Mary Imogene Bassett Hospital | 39 Pearl St W, Sidney, NY 13838-1330 |
| Robert J Garfield | Family Medicine | Mary Imogene Bassett Hospital | 32 -34 Main St, Stamford, NY 12167-1241 |
| Street Address |
34 CHENANGO AVE |
| City | CLINTON |
| State | NY |
| Zip | 13323-1341 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Brodt | Physical Therapy | Helen M Sarandrea Physical Therapy Pllc | 8200 Seneca Tpke, Clinton, NY 13323-1027 |
| David Schilling | Physical Therapy | Helen M Sarandrea Physical Therapy Pllc | 8200 Seneca Tpke, Clinton, NY 13323-1027 |
| Helen M Sarandrea | Physical Therapy | Helen M Sarandrea Physical Therapy Pllc | 8200 Seneca Tpke, Clinton, NY 13323-1027 |
| Barbara Villanti | Physical Therapy | Helen M Sarandrea Physical Therapy Pllc | 8200 Seneca Tpke, Clinton, NY 13323-1027 |
| Clare E Goldrick | Physical Therapy | Helen M Sarandrea Physical Therapy Pllc | 8200 Seneca Tpke, Clinton, NY 13323-1027 |
| Ahmed Radwan | Physical Therapy | Helen M Sarandrea Physical Therapy Pllc | 8200 Seneca Tpke, Clinton, NY 13323-1027 |
| Susan M Kantor | Physical Therapy | Helen M Sarandrea Physical Therapy Pllc | 8200 Seneca Tpke, Clinton, NY 13323-1027 |
| Heather C Mott | Physical Therapy | Helen M Sarandrea Physical Therapy Pllc | 8200 Seneca Tpke, Clinton, NY 13323-1027 |
| Thomas R Carone | Chiropractic | 8 Taylor Ave, Clinton, NY 13323-1406 | |
| Nancy J Phillips | Clinical Social Worker | 3 Kirkland Ave, Clinton, NY 13323-1460 | |
| Find all physicians in zip 13323 | |||
| City | CLINTON |
| Zip Code | 13323 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CLINTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Quazi T Islam.
| 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.