DR. ABDALLA MOHAMED YOUSIF (NPI# 1912009879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912009879 |
| Entity Type | Individual |
| Full Name | DR. ABDALLA MOHAMED YOUSIF |
| Credential | M.D |
| Practice Address |
90 Presidential Plz Syracuse NY 13202-2240 |
| Practice Telephone | 3154645240 |
| Practice Fax Number | 3154643757 |
| Mailing Telephone | 3154645240 |
| Mailing Fax Number | 3154643757 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-05-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 292344 | NY | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 25MA07938000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0077496 | 05 | |
| NJ | DEA | BY9391157 | 01 |
| NY | 02917302 | 05 | |
| NJ | RR MEDICARE | P00773568 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 90 Winston Dr, Matawan, NJ 077479718 | 7325835291 | 7323244983 |
| Street Address |
90 PRESIDENTIAL PLZ |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13202-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992702278 | Michael P Sharak | Physician Assistant | 90 Presidential Plz, Firm B, Syracuse, NY 13202-2240 | 2005-07-01 |
| 1558978940 | Krista Marie Shanholtz | Family Medicine | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2020-09-29 |
| 1689299505 | Kimberly Ann Cerasani | Nurse Practitioner | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2020-06-16 |
| 1235609512 | Sara Marie Obrist | Social Worker | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2018-11-29 |
| 1063949816 | Catherine Bird Fessenden | Student in an Organized Health Care Education/Training Program | 90 Presidential Plz, Suite 300, Syracuse, NY 13202-2240 | 2017-05-11 |
| 1013469873 | Davia Gaelin Moss | Registered Nurse | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2016-10-27 |
| 1285183335 | Stacy Jo Mcclintic | Dietitian, Registered | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2016-09-30 |
| 1235590738 | Lara Kratochwill | Pharmacist | 90 Presidential Plz, Adult Medicine Clinic, Syracuse, NY 13202-2240 | 2016-03-10 |
| 1699144527 | Viktoria Kenney | Nurse Practitioner | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2015-09-22 |
| 1053789610 | Suny Upstate | Clinic/Center | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2015-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255804456 | Lisa Blachford | Registered Nurse | 421 Montgomery St Room 80, Syracuse, NY 13202 | 2019-01-10 |
| 1851873640 | Syracuse Community Health Center, Inc. | Case Management | 819 South Salina Street, Syracuse, NY 13202 | 2018-08-29 |
| 1245739713 | Telibra Lloyd | Counselor | 375 W Onondaga St Suite 10, Syracuse, NY 13202 | 2018-02-09 |
| 1326574534 | Wendell Covell | Social Worker | 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 | 2017-05-08 |
| 1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
| 1427429760 | Joshua Caryl | Counselor | 319 East Water Street, Syracuse, NY 13202 | 2015-10-13 |
| 1093140956 | Jennifer B Mccaffrey | Nurse Practitioner | 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 | 2013-09-11 |
| 1336581552 | Emily Renee Haggerty | Hospitalist | 500 Harrison St, 1705a, Syracuse, NY 13202 | 2013-07-30 |
| 1134470933 | Tanya Marie Harlec Mcguire | Genetic Counselor, MS | 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 | 2012-09-20 |
| 1104176320 | Mary Jo Maestri | Genetic Counselor, MS | 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 | 2012-09-14 |
| Find all providers in zip 13202 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1245551506 | Caitlin Elizabeth Toomey | Internal Medicine | 90 Presidential Plz Fl 2, Syracuse, NY 13202-2240 | 2010-06-21 |
| 1023245313 | Tanya M George | Internal Medicine | 750 E Adams St - Department of Internal Medicine, Department of Internal Medicine, Syracuse, NY 13210-2342 | 2009-06-15 |
| 1740414853 | Richard Walter Weiskopf | Internal Medicine | 259 East Onondaga St., Amaus Health Services At Cathedral, Syracuse, NY 13202 | 2009-05-05 |
| 1952585838 | Indu Gupta | Internal Medicine | 421 Montgomery St. Onondaga County Health Department, John H. Mulroy Civic Center 9th Floor, Syracuse, NY 13202 | 2007-12-27 |
| 1871783969 | Berton R Shayevitz | Internal Medicine | Ima, 518 James Street, Syracuse, NY 13203 | 2007-07-26 |
| 1831318799 | Abha Harish | Internal Medicine | 550 Harrison St Ste I, Syracuse, NY 13202-3188 | 2007-04-25 |
| 1922152651 | Beth Ann Binkowski | Internal Medicine | 111 Waverly Ave., Syracuse, NY 13244 | 2007-01-22 |
| 1154482339 | Stephen J Thomas | Internal Medicine | 725 Irving Avenue, Suite 314, Syracuse, NY 13210 | 2006-12-12 |
| 1659431963 | Michael P. Kenney | Internal Medicine | 6001 E Molloy Rd, Syracuse, NY 13211-2100 | 2006-12-11 |
| Find all providers in SYRACUSE | ||||
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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.