Albert L Riddle (NPI# 1699724880, PAC ID# 7113819962) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GERIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1699724880 |
| PAC ID by PECOS | 7113819962 |
| Professional Enrollment ID | I20040326000381 |
| Full Name | Albert L Riddle |
| Organization Legal Name | RIDDLE MEDICAL LLC |
| Address |
25 N Malcolm St Ossining NY 10562-3216 |
| Phone Number | 8004031250 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 1986 |
| Primary Specialty | GERIATRIC MEDICINE |
| Group Practice PAC ID | 7113937103 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330234 | WESTCHESTER MEDICAL CENTER |
| 330180 | SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 25 N Malcolm St, Ossining, NY 10562-3216 | 8004031250 | RIDDLE MEDICAL LLC |
| 100 Franklin St, Poughkeepsie, NY 12601-4341 | 8004031250 | RIDDLE MEDICAL LLC |
| Organization Legal Name | RIDDLE MEDICAL LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Salome G. Brown-burrell | Nurse Practitioner | Riddle Medical LLC | 100 Franklin St, Poughkeepsie, NY 12601-4341 |
| Katerina Listopad | Nurse Practitioner | Riddle Medical LLC | 300 Grant Ave, Lake Katrine, NY 12449-5340 |
| Laura A Fox-distefano | Nurse Practitioner | Riddle Medical LLC | 25 N Malcolm St, Ossining, NY 10562-3216 |
| Andria Guzi | Nurse Practitioner | Riddle Medical LLC | 260 Vineyard Ave, Highland, NY 12528-2343 |
| Antonetta L Antonazzo | Nurse Practitioner | Riddle Medical LLC | 149 Ballston Ave, Ballston Spa, NY 12020-1946 |
| Elizabeth S George | Nurse Practitioner | Riddle Medical LLC | 25 N Malcolm St, Ossining, NY 10562-3216 |
| Asha Abraham | Nurse Practitioner | Riddle Medical LLC | 25 N Malcolm St, Ossining, NY 10562-3216 |
| Street Address |
25 N MALCOLM ST |
| City | OSSINING |
| State | NY |
| Zip | 10562-3216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura A Fox-distefano | Nurse Practitioner | Riddle Medical LLC | 25 N Malcolm St, Ossining, NY 10562-3216 |
| Elizabeth S George | Nurse Practitioner | Riddle Medical LLC | 25 N Malcolm St, Ossining, NY 10562-3216 |
| Asha Abraham | Nurse Practitioner | Riddle Medical LLC | 25 N Malcolm St, Ossining, NY 10562-3216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy Prives-boe | Physical Therapy | Healing Therapeutics Physical Therapy Pllc | 321 N Highland Ave, Ossining, NY 10562-2331 |
| Santanu Som | Emergency Medicine | 32 Cedar Ln, Ossining, NY 10562-2402 | |
| Michael E Cantor | Physical Medicine and Rehabilitation | National Health Rehabilitation LLC | 32 Cedar Ln, Ossining, NY 10562-2402 |
| Inna R Hengel | Physical Medicine and Rehabilitation | National Health Rehabilitation LLC | 32 Cedar Ln, Ossining, NY 10562-2402 |
| Gail Wittkin Sasso | Clinical Social Worker | 100 Executive Boulevard, Suite 104, Ossining, NY 10562-2557 | |
| Wendy Chabon | Clinical Social Worker | 100 Executive Blvd, Ossining, NY 10562-2557 | |
| Roxia B Bullock | Clinical Social Worker | 156 Somerstown Rd, Ossining, NY 10562-3019 | |
| Lorri Reynard | Clinical Psychologist | 4 Navajo Ln, Ossining, NY 10562-3813 | |
| Susan S Scheffel | Clinical Social Worker | 25 Justamere Dr, Ossining, NY 10562-3901 | |
| Roberta Wynne Gershner | Registered Dietitian Or Nutrition Professional | 42 Stonegate Rd, Ossining, NY 10562-4015 | |
| Find all physicians in zip 10562 | |||
| City | OSSINING |
| Zip Code | 10562 |
| Specialty | GERIATRIC MEDICINE |
| City + Specialty | OSSINING + GERIATRIC MEDICINE |
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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.