Nicholas G Bambino (NPI# 1417967514, PAC ID# 9638206626) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1417967514 |
| PAC ID by PECOS | 9638206626 |
| Professional Enrollment ID | I20100422001004 |
| Full Name | Nicholas G Bambino |
| Organization Legal Name | HUDSON VISTA MEDICAL PC |
| Address |
21 Laurel Ave Suite 280 Cornwall NY 12518-1481 |
| Phone Number | 8455347080 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1969 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8628240215 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330264 | ST LUKE'S CORNWALL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 21 Laurel Ave, Suite 280, Cornwall, NY 12518-1481 | 8455347080 | HUDSON VISTA MEDICAL PC |
| 70 Dubois St, Newburgh, NY 12550-4851 | 8454584855 | HUDSON VISTA MEDICAL PC |
| Organization Legal Name | HUDSON VISTA MEDICAL PC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Uticia Belfield | Internal Medicine | Hudson Vista Medical PC | 400 Gidney Ave, Stop 2, Newburgh, NY 12550-3762 |
| Manita Sawhney | Internal Medicine | Hudson Vista Medical PC | 21 Laurel Ave, Suite 120, Cornwall, NY 12518-1462 |
| Benjamin Chukwuocha | Psychiatry | Hudson Vista Medical PC | 70 Dubois St, Newburgh, NY 12550-4851 |
| Travis S Kipping | Psychiatry | Hudson Vista Medical PC | 70 Dubois St, Newburgh, NY 12550-4851 |
| Margarita Kogan | Family Medicine | Hudson Vista Medical PC | 21 Laurel Ave, Suite 280, Cornwall, NY 12518-1481 |
| Susan Martino | Nurse Practitioner | Hudson Vista Medical PC | 70 Dubois St, Newburgh, NY 12550-4851 |
| Benjamin A Margolis | Psychiatry | Hudson Vista Medical PC | 70 Dubois St, Newburgh, NY 12550-4851 |
| Diana Linetskaya | Plastic and Reconstructive Surgery | Hudson Vista Medical PC | 21 Laurel Ave, Suite 280, Cornwall, NY 12518-1481 |
| Alice J Looney | Nurse Practitioner | Hudson Vista Medical PC | 19 Laurel Ave, Cornwall, NY 12518-1403 |
| Kirti Joseph | Internal Medicine | Hudson Vista Medical PC | 70 Dubois St, Newburgh, NY 12550-4851 |
| Street Address |
21 LAUREL AVE SUITE 280 |
| City | CORNWALL |
| State | NY |
| Zip | 12518-1481 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manita Sawhney | Internal Medicine | Hudson Vista Medical PC | 21 Laurel Ave, Suite 120, Cornwall, NY 12518-1462 |
| Margarita Kogan | Family Medicine | Hudson Vista Medical PC | 21 Laurel Ave, Suite 280, Cornwall, NY 12518-1481 |
| Diana Linetskaya | Plastic and Reconstructive Surgery | Hudson Vista Medical PC | 21 Laurel Ave, Suite 280, Cornwall, NY 12518-1481 |
| Robert Reuben Bibi | Plastic and Reconstructive Surgery | 21 Laurel Ave, Suite 130, Cornwall, NY 12518-1462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Uma B Mishra | Radiation Oncology | Orange County Radiation Oncology | 2565 Route 9w, Cornwall, NY 12518-1309 |
| Philip S Smith | Infectious Disease | 164 Willow Ave, Cornwall, NY 12518-1329 | |
| Richard M Diamond | Hematology/oncology | 164 Willow Ave, Cornwall, NY 12518-1329 | |
| Kimberly Darrigo | Nurse Practitioner | 164 Willow Ave, Cornwall, NY 12518-1329 | |
| Pallavi Cherukuri | Diagnostic Radiology | West Hudson Imaging Associates Pllc | 19 Laurel Ave, Cornwall, NY 12518-1403 |
| Shana R Coplowitz | Radiation Oncology | St. Luke's Cornwall Jv, LLC | 15 Laurel Ave, Suite 100, Cornwall, NY 12518-1403 |
| Alexander Martynov | Interventional Radiology | West Hudson Imaging Associates Pllc | 19 Laurel Ave, Cornwall, NY 12518-1403 |
| Thomas V Robb | General Surgery | Acute Care Surgery Medical Group Inc | 19 Laurel Ave, Cornwall, NY 12518-1403 |
| John A Markisz | Diagnostic Radiology | West Hudson Imaging Associates Pllc | 19 Laurel Ave, Cornwall, NY 12518-1403 |
| Jahanara Reza | Hospitalist | 19 Laurel Ave, Cornwall, NY 12518-1403 | |
| Find all physicians in zip 12518 | |||
| City | CORNWALL |
| Zip Code | 12518 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | CORNWALL + GASTROENTEROLOGY |
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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.