SOVONNA S. YEN-MANCUSO (NPI# 1407087497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407087497 |
| Entity Type | Individual |
| Full Name | SOVONNA S. YEN-MANCUSO |
| Credential | P.A. |
| Practice Address |
624 Mcclellan St Suite 101 Schenectady NY 12304-1020 |
| Practice Telephone | 5183822260 |
| Practice Fax Number | 5183475007 |
| Mailing Telephone | 5183822260 |
| Mailing Fax Number | 5183475007 |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 013379-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
624 MCCLELLAN ST SUITE 101 |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12304-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982656286 | Diana L Page | Otolaryngology | 624 Mcclellan St, Suite G01, Schenectady, NY 12304-1020 | 2006-05-16 |
| 1457807570 | Olamide Akhumere | Nurse Practitioner | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2016-08-29 |
| 1366892374 | Michael Ferro | Family Medicine | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2016-06-21 |
| 1871943746 | Jeremy Sawh | Family Medicine | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2016-06-21 |
| 1083064943 | Innesa Sarkisova | Family Medicine | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2016-06-21 |
| 1598115446 | Sushma Prathipati | Family Medicine | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2016-06-21 |
| 1134509169 | Lauren Sequeira | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2015-06-04 |
| 1114307147 | Natalia Todd | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2015-06-04 |
| 1427438746 | Imma Forestal | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2015-06-02 |
| 1275913592 | Isidro Borboa-orduno | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2015-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780173682 | Aminah Alia Roberts | Registered Nurse | 200 Hillcrestave, Schenectady, NY 12304 | 2018-05-07 |
| 1871046870 | Katie Tonkin | Dentist | 445 Balltown Rd Ste 2, Schenectady, NY 12304 | 2016-07-27 |
| 1508226655 | Karen Verret | Specialist | 230 Oregon Ave, Schenectady, NY 12304 | 2016-03-02 |
| 1104161850 | Northeast Parent and Child Society | Local Education Agency (LEA) | 327 Abbottsford Road, Schenectady, NY 12304 | 2012-12-06 |
| 1316207061 | Amanda C Fennicks | Licensed Practical Nurse | 1743 Hamburg St, Schenectady, NY 12304 | 2012-05-29 |
| 1639445232 | Lisa Marie Langer | Pharmacist | 2037 State Street, Schenectady, NY 12304 | 2012-03-28 |
| 1487922167 | Mary Ellen B Nagel | Registered Nurse | 1821 Hamburg St, Schenectady, NY 12304 | 2011-12-08 |
| 1699084624 | Paula Frances Williams | Speech-Language Pathologist | 2566 Balltown Road, Schenectady, NY 12304 | 2010-09-24 |
| 1558547133 | Fraterrigo Eye Physicians &surgeons, Pllc | Ophthalmology | 700 Mcclellan Street, St. Clare's Medical Arts Building, Schenectady, NY 12304 | 2008-01-14 |
| 1104022730 | William T. Tirone | Dentist | 600 Mcclellan Street, Schenectady, NY 12304 | 2007-06-21 |
| Find all providers in zip 12304 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164957072 | Samantha Anne Relyea | Physician Assistant | 1101 Nott St # B5, Schenectady, NY 12308-2425 | 2017-04-28 |
| 1487939872 | Christopher J Bertino | Physician Assistant | 1 River Rd Bldg 43, Schenectady, NY 12345-8309 | 2011-10-17 |
| 1932411451 | Tracey E Zusman | Physician Assistant | 1101 Nott St., Schenectady, NC 12308 | 2010-07-13 |
| 1578679338 | Karen A Mcgarry | Physician Assistant | 3757 Carman Rd., Suite 100, Schenectady, NY 12303 | 2006-08-22 |
| 1780626531 | Richard A Butz | Physician Assistant | 1322 Gerling St, Schenectady, NY 12308-1702 | 2006-06-12 |
| 1124022611 | Joseph A Petrosino | Physician Assistant | 2125 River Rd Ste 303, Schenectady, NY 12309-1135 | 2005-06-13 |
| 1356958896 | Kristen Lee Hebert | Physician Assistant | 1667 Elizabeth St, Schenectady, NY 12303-3805 | 2020-09-29 |
| 1285246488 | Perri Clifford | Physician Assistant | 2125 River Rd Ste 303b, Schenectady, NY 12309-1136 | 2020-08-19 |
| 1750927158 | Robert Akey | Physician Assistant | 2125 River Rd Ste 203, Schenectady, NY 12309-1135 | 2019-11-20 |
| 1861034969 | Mallory Macdonald | Physician Assistant | 1400 Altamont Ave, Schenectady, NY 12303-2909 | 2019-10-10 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.