Mandy Black (NPI# 1386049385, PAC ID# 9335462241) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1386049385 |
| PAC ID by PECOS | 9335462241 |
| Professional Enrollment ID | I20141230000998 |
| Full Name | Mandy Black |
| Organization Legal Name | SAMARITAN HOSPITAL OF TROY NEW YORK |
| Address |
279 Troy Rd Troy NY 12180 |
| Phone Number | 5182861922 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6507770070 |
| Number of Group Practice Members | 211 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330180 | SAMARITAN HOSPITAL |
| 330003 | ALBANY MEMORIAL HOSPITAL |
| 330057 | ST PETER'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 279 Troy Rd, Troy, NY 12180 | 5182861922 | SAMARITAN HOSPITAL OF TROY NEW YORK |
| 158 Saratoga Ave, Waterford, NY 12188-2205 | 5182861922 | SAMARITAN HOSPITAL OF TROY NEW YORK |
| Organization Legal Name | SAMARITAN HOSPITAL OF TROY NEW YORK |
| Physicians | 148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Bradt | Nurse Practitioner | Samaritan Hospital of Troy New York | 79 Vandenburgh Ave, Troy, NY 12180-6024 |
| Christina Conigliaro | Nurse Practitioner | Samaritan Hospital of Troy New York | 158 Saratoga Ave, Waterford, NY 12188-2205 |
| Ericka Matzen | Nurse Practitioner | Samaritan Hospital of Troy New York | 2231 Burdett Ave, Suite 110, Troy, NY 12180-2447 |
| Charles M Sulzman | Internal Medicine | Samaritan Hospital of Troy New York | 1401 Massachusetts Ave, Troy, NY 12180-1621 |
| Steven J Balsamo | Family Medicine | Samaritan Hospital of Troy New York | 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 |
| Luke M Nightingale | Family Medicine | Samaritan Hospital of Troy New York | 1111 Hudson Ave, Stillwater, NY 12170-3439 |
| Samuel O Anameze | Internal Medicine | Samaritan Hospital of Troy New York | 2215 Burdett Ave, Troy, NY 12180-2466 |
| Satik Amirbekian | Internal Medicine | Samaritan Hospital of Troy New York | 1 Bell Tower Dr, Watervliet, NY 12189-2333 |
| Vincent A Corcoran | Obstetrics/gynecology | Samaritan Hospital of Troy New York | 2 Empire Dr, Suite 101, Rensselaer, NY 12144-5752 |
| Janet L Alloway | Physician Assistant | Samaritan Hospital of Troy New York | 1300 Massachusetts Ave, Troy, NY 12180-1628 |
| Street Address |
279 TROY RD |
| City | TROY |
| State | NY |
| Zip | 12180 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Iseman | Diagnostic Radiology | St Peters Health Partners Medical Associates PC | 279 Troy Rd, Rensselaer, NY 12144-9518 |
| Andrew G Gunther | Orthopedic Surgery | Samaritan Hospital of Troy New York | 279 Troy Rd, Troy, NY 12180 |
| Jeffrey R Root | Psychologist, Clinical | Samaritan Hospital of Troy New York | 279 Troy Rd, Troy, NY 12180 |
| Elizabeth Devereux | Nurse Practitioner | Samaritan Hospital of Troy New York | 279 Troy Rd, Troy, NY 12180 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Zaven Dadekian | Rheumatology | 1302 Park Blvd, Troy, NY 12180-1403 | |
| Charles M Sulzman | Internal Medicine | Samaritan Hospital of Troy New York | 1401 Massachusetts Ave, Troy, NY 12180-1621 |
| Peter R Maggiore | Internal Medicine | Samaritan Hospital of Troy New York | 1401 Massachusetts Ave, Troy, NY 12180-1621 |
| Kristen A Santos | Internal Medicine | Samaritan Hospital of Troy New York | 1401 Massachusetts Ave, Troy, NY 12180-1621 |
| Beverley L Krauss | Physician Assistant | Seton Health System, Inc | 1401 Massachusetts Ave, Troy, NY 12180-1621 |
| Janet L Alloway | Physician Assistant | Samaritan Hospital of Troy New York | 1300 Massachusetts Ave, Troy, NY 12180-1628 |
| Victor G Laregina | Internal Medicine | Samaritan Hospital of Troy New York | 1300 Massachusetts Ave, Troy, NY 12180-1628 |
| Alphonse Ntube Akuo | Nurse Practitioner | Samaritan Hospital of Troy New York | 1300 Massachusetts Ave, Troy, NY 12180-1628 |
| Namrata H Patel | Medical Oncology | Samaritan Hospital of Troy New York | 1300 Massachusetts Ave, Troy, NY 12180-1628 |
| Selma K Crump | Nurse Practitioner | Samaritan Hospital of Troy New York | 1300 Massachusetts Ave, Troy, NY 12180-1628 |
| Find all physicians in zip 12180 | |||
| City | TROY |
| Zip Code | 12180 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TROY + NURSE PRACTITIONER |
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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.