Holly L Wasniewski (NPI# 1417020090, PAC ID# 1759488968) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1417020090 |
| PAC ID by PECOS | 1759488968 |
| Professional Enrollment ID | I20070523000453 |
| Full Name | Holly L Wasniewski |
| Organization Legal Name | COMMUNITY CARE PHYSICIANS PC |
| Address |
61 Rowland St Ballston Spa NY 12020-1135 |
| Phone Number | 5188856721 |
| Gender | F |
| Credential | DO |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8022904473 |
| Number of Group Practice Members | 329 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330222 | SARATOGA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 61 Rowland St, Ballston Spa, NY 12020-1135 | 5188856721 | COMMUNITY CARE PHYSICIANS PC |
| Organization Legal Name | COMMUNITY CARE PHYSICIANS PC |
| Physicians | 267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah A O'leary | Nurse Practitioner | Community Care Physicians PC | 1882 New Scotland Rd, Suite 200, Slingerlands, NY 12159-3627 |
| Kelsey E Tourville | Physician Assistant | Community Care Physicians PC | 61 Rowland St, Ballston Spa, NY 12020-1135 |
| Jenny A Torre | Pediatric Medicine | Community Care Physicians PC | 7 B Johnson Rd, Latham, NY 12110-3003 |
| Aaron J Quidort | Internal Medicine | Community Care Physicians PC | 35 Empire State Blvd, Castleton, NY 12033-9777 |
| Anneliese Provost | Nurse Practitioner | Community Care Physicians PC | 4164 Route 2, Cropseyville, NY 12052 |
| Jill A Gradner | Internal Medicine | Community Care Physicians PC | 199 Delaware Ave, Delmar, NY 12054-1229 |
| Barbara Hunter Quinn | Nurse Practitioner | Community Care Physicians PC | 1184 State Rd, Suite 50, Ballston Lake, NY 12019 |
| Kristienna Doro | Nurse Practitioner | Community Care Physicians PC | 14 Vista Blvd, Slingerlands, NY 12159-2184 |
| Frances A Rosario | Nurse Practitioner | Community Care Physicians PC | 2 Clara Barton Dr, Suite 201, Albany, NY 12208-3477 |
| Lisbeth M Irish | Registered Dietitian Or Nutrition Professional | Community Care Physicians PC | 501 New Karner Rd, Suite 1a, Albany, NY 12205-3882 |
| Street Address |
61 ROWLAND ST |
| City | BALLSTON SPA |
| State | NY |
| Zip | 12020-1135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey E Tourville | Physician Assistant | Community Care Physicians PC | 61 Rowland St, Ballston Spa, NY 12020-1135 |
| Stephen E Strader | Family Medicine | Community Care Physicians PC | 61 Rowland St, Ballston Spa, NY 12020-1135 |
| Barbara A Woodruff | Physician Assistant | Community Care Physicians, PC | 61 Rowland St, Ballston Spa, NY 12020-1135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kieran Mccoy | Physical Therapy | Sports Physical Therapy of New York, P.C. | 4102 Ellsworth Blvd, Malta, NY 12020 |
| Samuel R Grady | Physician Assistant | Healthcare Partners of Saratoga Ltd | 6 Medical Park Blvd, Malta, NY 12020 |
| Frank H Westad | Nurse Practitioner | Ellis Hospital | 2537 Route 9, Suite 203, Malta, NY 12020 |
| Michelle L Ryan | Nurse Practitioner | Malta Medical Care, P.C. | 2554 Route 9, Ballston Spa, NY 12020 |
| Katie Vittengl Yeaton | Nurse Practitioner | Malta Medical Care, P.C. | 2554 Route 9, Ballston Spa, NY 12020 |
| Morgan J Vittengl | Family Medicine | Malta Medical Care, P.C. | 2554 Route 9, Ballston Spa, NY 12020 |
| Zachary Cole | Physical Therapy | Sports Physical Therapy of New York, P.C. | 4102 Ellsworth Blvd, Malta, NY 12020 |
| Jeanine Marie Burke | Physical Therapy | Sports Physical Therapy of New York, P.C. | 4102 Ellsworth Blvd, Malta, NY 12020 |
| Courtney B Diamond | Nurse Practitioner | Ellis Hospital | 2537 Route 9, Suite 203, Malta, NY 12020 |
| Shane M Cherico | Physical Therapy | Sports Physical Therapy of New York, P.C. | 4102 Ellsworth Blvd, Malta, NY 12020 |
| Find all physicians in zip 12020 | |||
| City | BALLSTON SPA |
| Zip Code | 12020 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BALLSTON SPA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Holly L Wasniewski.
| 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.