Idel I Moisa (NPI# 1568463909, PAC ID# 7911084900) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1568463909 |
| PAC ID by PECOS | 7911084900 |
| Professional Enrollment ID | I20080401000513 |
| Full Name | Idel I Moisa |
| Organization Legal Name | PROHEALTH CARE ASSOCIATES LLP |
| Address |
101 Saint Andrews Ln Glen Cove NY 11542-2254 |
| Phone Number | 5166747300 |
| Gender | M |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 1983 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 4486544186 |
| Number of Group Practice Members | 656 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330181 | NS/LIJ HS-NORTH SHORE UNIV HOSP AT GLEN COVE |
| Address | Phone | Organization |
|---|---|---|
| 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 | 5166747300 | PROHEALTH CARE ASSOCIATES LLP |
| 994 W Jericho Tpke, Smithtown, NY 11787-3235 | 6315437770 | PROHEALTH CARE ASSOCIATES LLP |
| 994 W Jericho Tpke, Suite 103, Smithtown, NY 11787-3235 | 6318646647 | PROHEALTH CARE ASSOCIATES LLP |
| Organization Legal Name | PROHEALTH CARE ASSOCIATES LLP |
| Physicians | 676 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dominique Rowe | Physical Therapy | Prohealth Care Associates LLP | 3202 Bainbridge Ave, Apt D, Bronx, NY 10467-3947 |
| Phyllis G Simon-goldman | Pediatric Medicine | Prohealth Care Associates LLP | 270 Union Ave, Holbrook, NY 11741-1823 |
| Jack Baker Renfroe | Physical Therapy | Prohealth Care Associates LLP | 120 W 23rd St, New York, NY 10011-2473 |
| Christie G Mathew | Physical Therapy | Prohealth Care Associates LLP | 70 Maple Ave, Rockville Centre, NY 11570-4225 |
| Leslianne Barabash | Nurse Practitioner | Prohealth Care Associates LLP | 2840 Jerusalem Ave, Wantagh, NY 11793-2017 |
| Susanne Michelle Labarba | Allergy/immunology | Prohealth Care Associates LLP | 2 Lincoln Ave, Suite 201, Rockville Centre, NY 11570-5775 |
| Costantinos Stamboulis | Occupational Therapy | Prohealth Care Associates LLP | 994 W Jericho Tpke, Smithtown, NY 11787-3235 |
| Laura J Sheridan-kelchner | Obstetrics/gynecology | Prohealth Care Associates LLP | 720 Montauk Hwy, West Islip, NY 11795-4411 |
| Veronica Mastrogiacomo | Nurse Practitioner | Prohealth Care Associates LLP | 1610 Williamsbridge Rd, Bronx, NY 10461-6289 |
| Jennifer Olivella | Nurse Practitioner | Prohealth Care Associates LLP | 19616 Hillside Ave, Hollis, NY 11423-2125 |
| Street Address |
101 SAINT ANDREWS LN |
| City | GLEN COVE |
| State | NY |
| Zip | 11542-2254 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wai C Man | Hospitalist | North Shore-lij Medical PC | 101 Saint Andrews Ln, Suite 1, Glen Cove, NY 11542-2254 |
| Michael V Scala | Physician Assistant | Partners In Critical Care LLP | 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 |
| Nicholas Hernandez | Hospitalist | North Shore-lij Medical PC | 101 Saint Andrews Ln, Suite 1, Glen Cove, NY 11542-2254 |
| James William Ciancarelli | Internal Medicine | North Shore-lij Medical PC | 101 Saint Andrews Ln, Suite 1, Glen Cove, NY 11542-2254 |
| Serina T Chung | Hospitalist | North Shore-lij Medical PC | 101 Saint Andrews Ln, Suite 1, Glen Cove, NY 11542-2254 |
| Michelle M Lobo | Rheumatology | North Shore-lij Medical PC | 101 Saint Andrews Ln, Suite 1, Glen Cove, NY 11542-2254 |
| Caitlin Marie Carpenter | Nurse Practitioner | North Shore-lij Medical PC | 101 Saint Andrews Ln, Suite 1, Glen Cove, NY 11542-2254 |
| Neel Chandel | Physical Medicine and Rehabilitation | North Shore-lij Medical PC | 101 Saint Andrews Ln, Suite 1, Glen Cove, NY 11542-2254 |
| Sunil Shah | Emergency Medicine | North Shore-lij Medical PC | 101 Saint Andrews Ln, Suite 1, Glen Cove, NY 11542-2254 |
| David C Chun | Hospitalist | North Shore-lij Medical PC | 101 Saint Andrews Ln, Suite 1, Glen Cove, NY 11542-2254 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen L Lombardi | Psychologist, Clinical | 10 Beech Ct, Glen Cove, NY 11542-1426 | |
| Michael L. Melamed | Psychiatry | 11 Jodi Ct, Glen Cove, NY 11542-1470 | |
| Barbara S Cohen | Psychologist, Clinical | 8 Woodland Rd, Glen Cove, NY 11542-1727 | |
| Patricia M Leslie | Physical Therapy | Physical Therapy Rehab@home PC | 36 Northfield Rd, Glen Cove, NY 11542-1742 |
| Victoria D Bracco | Podiatry | 16 Mckinley Pl, Glen Cove, NY 11542-1927 | |
| Russell H Samuel | General Surgery | The Med Station PC | 104 Forest Ave, Glen Cove, NY 11542-2015 |
| Cynthia I Lett | Physical Therapy | Glen Medical Health, PC | 154 Forest Ave, Glen Cove, NY 11542-2023 |
| Loretta Mary Siegel | Family Medicine | 154 Forest Ave, Glen Cove, NY 11542-2023 | |
| Alan N Siegel | Chiropractic | 154 Forest Ave, Glen Cove, NY 11542-2023 | |
| Peter J Kurzweil | Internal Medicine | 235 Forest Ave, Glen Cove, NY 11542-2034 | |
| Find all physicians in zip 11542 | |||
| City | GLEN COVE |
| Zip Code | 11542 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | GLEN COVE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Idel I Moisa.
| 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.