Mary Vallone (NPI# 1912158858, PAC ID# 9739199563) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1912158858 |
| PAC ID by PECOS | 9739199563 |
| Professional Enrollment ID | I20060425000108 |
| Full Name | Mary Vallone |
| Organization Legal Name | NORTH SHORE - LIJ MEDICAL PC |
| Address |
300 Community Dr Manhasset NY 11030-3816 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1982 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3375701568 |
| Number of Group Practice Members | 2439 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330106 | NORTH SHORE UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 300 Community Dr, Manhasset, NY 11030-3816 | NORTH SHORE - LIJ MEDICAL PC | |
| 300 Community Dr Ll, Manhasset, NY 11030-3816 | 5165622229 | NORTH SHORE - LIJ MEDICAL PC |
| 330 Community Dr, Manhasset, NY 11030-3816 | 5167082550 | NORTH SHORE - LIJ MEDICAL PC |
| 350 Community Dr, Manhasset, NY 11030-3816 | 5165623845 | NORTH SHORE - LIJ MEDICAL PC |
| Organization Legal Name | NORTH SHORE - LIJ MEDICAL PC |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deevya L Narayanan | Family Practice | North Shore - Lij Medical PC | 25 Central Park Rd, Plainview, NY 11803-2001 |
| Benjamin A Sahn | Gastroenterology | North Shore - Lij Medical PC | 300 Community Dr Ll, Manhasset, NY 11030-3816 |
| Michelle P Smith | Registered Dietitian Or Nutrition Professional | North Shore - Lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Rubin S Cooper | Pediatric Medicine | North Shore - Lij Medical PC | 350 Community Dr, Manhasset, NY 11030-3816 |
| Amy Liu | Physician Assistant | North Shore - Lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| John L Ricci | Surgical Oncology | North Shore - Lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Allison B Stakofsky | Pediatric Medicine | North Shore - Lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Kristina A Meier | Nurse Practitioner | North Shore - Lij Medical PC | 350 Community Dr, Manhasset, NY 11030-3816 |
| Danielle Hartzband | Nurse Practitioner | North Shore - Lij Medical PC | 1085 Park Ave, New York, NY 10128-1180 |
| Margaret C Hahn | Nurse Practitioner | North Shore - Lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Street Address |
300 COMMUNITY DR |
| City | MANHASSET |
| State | NY |
| Zip | 11030-3816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samit Shah | Cardiovascular Disease (cardiology) | North Shore-lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Anitha Sara Mathew-shaji | Internal Medicine | North Shore-lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Chris Sung | Diagnostic Radiology | North Shore-lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Newaz Hossain | Hospitalist | North Shore-lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Ehab S Hanna | Hospitalist | North Shore-lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Jenna M Bannon | Registered Dietitian Or Nutrition Professional | North Shore-lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Jennifer Yang Lee | Family Medicine | North Shore-lij Medical PC | 300 Community Dr, 1st, Manhasset, NY 11030-3816 |
| Kenneth A Bomparola | Physician Assistant | North Shore-lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Mara J Cofler Koldorff | Family Medicine | North Shore-lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Jose L. Cruz | Physician Assistant | North Shore-lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Lerner | Diagnostic Radiology | 37 Valley Rd, Manhasset, NY 11030-1441 | |
| Anna K Imperato | Rheumatology | 19 Orchard St, Suite 1, Manhasset, NY 11030-1921 | |
| Peter J Lacorte | Optometry | 433 Plandome Rd, Manhasset, NY 11030-1942 | |
| Charles B Beasley | Psychiatry | 565 Plandome Rd, Suite 169, Manhasset, NY 11030-1945 | |
| Ilan J Safir | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Gary Goldberg | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Sarah K Girardi | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Dennis Lynch | Physician Assistant | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Felix L Badillo | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Anthony L Luciano | Internal Medicine | 450 Plandome Rd, Suite 2, Manhasset, NY 11030-1962 | |
| Find all physicians in zip 11030 | |||
| City | MANHASSET |
| Zip Code | 11030 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MANHASSET + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mary Vallone.
| 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.