Abigail Brunner (NPI# 1174178859, PAC ID# 9830421759) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174178859 |
| PAC ID by PECOS | 9830421759 |
| Professional Enrollment ID | I20191025002467 |
| Full Name | Abigail Brunner |
| Organization Legal Name | UPSTATE FAMILY AND PREVENTIVE MEDICINE INC |
| Address |
208 Township Blvd Camillus NY 13031-1674 |
| Phone Number | 3154646853 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6800185711 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330241 | UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 208 Township Blvd, Camillus, NY 13031-1674 | 3154646853 | UPSTATE FAMILY AND PREVENTIVE MEDICINE INC |
| Organization Legal Name | UPSTATE FAMILY AND PREVENTIVE MEDICINE INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael B Lax | Family Medicine | Upstate Family and Preventive Medicine Inc | 6712 Brooklawn Pkwy, Suite 204, Syracuse, NY 13211-2158 |
| Alida A De Jong | Nurse Practitioner | Upstate Family and Preventive Medicine Inc | 90 Presidential Plz, Syracuse, NY 13202-2240 |
| Catherine Fessenden | Nurse Practitioner | Upstate Family and Preventive Medicine Inc | 90 Presidential Plz, Syracuse, NY 13202-2240 |
| James L Greenwald | Family Medicine | Upstate Family and Preventive Medicine Inc | 475 Irving Ave, Suite 300, Syracuse, NY 13210-1528 |
| Annamaria C Arias | Family Medicine | Upstate Family and Preventive Medicine Inc | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Heather Finn | Family Medicine | Upstate Family and Preventive Medicine Inc | 475 Irving Ave, Suite 300, Syracuse, NY 13210-1528 |
| Igor A Kraev | Family Medicine | Upstate Family and Preventive Medicine Inc | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Raechel Dick | Nurse Practitioner | Upstate Family and Preventive Medicine Inc | 90 Presidential Plz, Syracuse, NY 13202-2240 |
| Joseph A Cincotta | Family Medicine | Upstate Family and Preventive Medicine Inc | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| R Eugene Bailey | Family Medicine | Upstate Family and Preventive Medicine Inc | 475 Irving Ave, Suite 300, Syracuse, NY 13210-1528 |
| Street Address |
208 TOWNSHIP BLVD |
| City | CAMILLUS |
| State | NY |
| Zip | 13031-1674 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrij R Wojtowycz | Diagnostic Radiology | University Radiology Associates, LLP | 208 Township Blvd, Suite 400, Camillus, NY 13031-1674 |
| Scott M Vanvalkenburg | Orthopedic Surgery | Upstate Orthopedics, LLP | 208 Township Blvd, Suite 200, Camillus, NY 13031-1674 |
| Hal E Cohen | Diagnostic Radiology | University Radiology Associates, LLP | 208 Township Blvd, Suite 400, Camillus, NY 13031-1674 |
| Sylvie Destian | Diagnostic Radiology | University Radiology Associates, LLP | 208 Township Blvd, Suite 400, Camillus, NY 13031-1674 |
| Leonard S Hojnowski | Nuclear Medicine | University Radiology Associates, LLP | 208 Township Blvd, Suite 400, Camillus, NY 13031-1674 |
| Robert A Sherman | Orthopedic Surgery | Upstate Orthopedics, LLP | 208 Township Blvd, Suite 200, Camillus, NY 13031-1674 |
| Marissa L Mincolla | Diagnostic Radiology | University Radiology Associates, LLP | 208 Township Blvd, Suite 400, Camillus, NY 13031-1674 |
| Matthew G Scuderi | Orthopedic Surgery | Upstate Orthopedics, LLP | 208 Township Blvd, Suite 200, Camillus, NY 13031-1674 |
| Kalliopi Petropoulou | Diagnostic Radiology | University Radiology Associates, LLP | 208 Township Blvd, Suite 400, Camillus, NY 13031-1674 |
| Ernest M Scalzetti | Diagnostic Radiology | University Radiology Associates, LLP | 208 Township Blvd, Suite 400, Camillus, NY 13031-1674 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Rivizzigno | Physical Therapy | 4050 Milton Ave, Camillus, NY 13031-1217 | |
| Jessica K. Lockwood | Physician Assistant | Familycare Medical Group PC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| Michael J Parker | Otolaryngology | Familycare Medical Group PC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| Nicole M Anzalone | Qualified Audiologist | Preferred Audiology Care, LLC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| John F Eppolito | Family Medicine | Familycare Medical Group PC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| Kimberly L Olrich | Nurse Practitioner | Familycare Medical Group PC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| Lori A Woods | Nurse Practitioner | Familycare Medical Group PC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| Erin M Bagley | Qualified Audiologist | Preferred Audiology Care, LLC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| Samuel B Rameas | Podiatry | Samuel B Rameas Dpm PC | 5705 W Genesee St, Camillus, NY 13031-1274 |
| Howard M Wolhandler | Podiatry | Samuel B Rameas Dpm PC | 5705 W Genesee St, Camillus, NY 13031-1274 |
| Find all physicians in zip 13031 | |||
| City | CAMILLUS |
| Zip Code | 13031 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CAMILLUS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Abigail Brunner.
| 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.