Idaresit Udo (NPI# 1619227394, PAC ID# 2466763727) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1619227394 |
| PAC ID by PECOS | 2466763727 |
| Professional Enrollment ID | I20151012000752 |
| Full Name | Idaresit Udo |
| Organization Legal Name | WESTCHESTER MEDICAL GROUP PC |
| Address |
644 W Putnam Ave Greenwich CT 06830-6088 |
| Phone Number | 2036220303 |
| Gender | F |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6406752963 |
| Number of Group Practice Members | 424 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330304 | WHITE PLAINS HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 644 W Putnam Ave, Greenwich, CT 06830-6088 | 2036220303 | WESTCHESTER MEDICAL GROUP PC |
| 210 Westchester Ave, White Plains, NY 10604-2901 | 9146820700 | WESTCHESTER MEDICAL GROUP PC |
| Organization Legal Name | WESTCHESTER MEDICAL GROUP PC |
| Physicians | 404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Corti | Physical Therapy | Westchester Medical Group PC | 3030 Westchester Ave, Purchase, NY 10577-2574 |
| James Joseph | Orthopedic Surgery | Westchester Medical Group PC | 73 Market St, Yonkers, NY 10710-7602 |
| Rodrigo Garcia Tuyama | Internal Medicine | Westchester Medical Group PC | 55 Holly Hill Ln, Suite 130, Greenwich, CT 06830-6074 |
| Alex Gitelman | Orthopedic Surgery | Westchester Medical Group PC | 2700 Westchester Ave, Fl 3, Purchase, NY 10577-2547 |
| Linda Reid | Obstetrics/gynecology | Westchester Medical Group PC | 106 Noroton Ave, Suite 203, Darien, CT 06820-5237 |
| Joseph D Amico | Orthopedic Surgery | Westchester Medical Group PC | 1281 E Main St, Stamford, CT 06902-3544 |
| Ronald B Dennett | Internal Medicine | Westchester Medical Group PC | 1 Theall Rd, Rye, NY 10580-1404 |
| Jennifer E Donath | Qualified Audiologist | Westchester Medical Group PC | 644 W Putnam Ave, Greenwich, CT 06830-6088 |
| Manuel G Tejera | Internal Medicine | Westchester Medical Group PC | 1084 N Broadway, Yonkers, NY 10701-1107 |
| Basil Kocur | Obstetrics/gynecology | Westchester Medical Group PC | 899 Park Ave, New York, NY 10075-0304 |
| Street Address |
644 W PUTNAM AVE |
| City | GREENWICH |
| State | CT |
| Zip | 06830-6088 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer E Donath | Qualified Audiologist | Westchester Medical Group PC | 644 W Putnam Ave, Greenwich, CT 06830-6088 |
| Jacklyn Obeng | Nurse Practitioner | Westchester Medical Group PC | 644 W Putnam Ave, Greenwich, CT 06830-6088 |
| Sharon Gannot | Internal Medicine | Westchester Medical Group PC | 644 W Putnam Ave, Greenwich, CT 06830-6088 |
| Marianne Monahan | Nephrology | Westchester Medical Group PC | 644 W Putnam Ave, Greenwich, CT 06830-6088 |
| Carlo C Mccalla | Infectious Disease | Westchester Medical Group PC | 644 W Putnam Ave, Greenwich, CT 06830-6088 |
| Ashley M Pritchard | Obstetrics/gynecology | Westchester Medical Group PC | 644 W Putnam Ave, Greenwich, CT 06830-6088 |
| Steven Feldman | Otolaryngology | Westchester Medical Group PC | 644 W Putnam Ave, Greenwich, CT 06830-6088 |
| Sarah Zwany Goodman | Diagnostic Radiology | Westchester Medical Group PC | 644 W Putnam Ave, Greenwich, CT 06830-6088 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nichole S Ferreira | Nurse Practitioner | Stamford Health Medical Group Inc | 75 Holly Hill Ln, Suite 201, Greenwich, CT 06830-2912 |
| James S Krinsley | Pulmonary Disease | Stamford Health Medical Group Inc | 75 Holly Hill Ln, Suite 201, Greenwich, CT 06830-2912 |
| Paul Sachs | Pulmonary Disease | Stamford Health Medical Group Inc | 75 Holly Hill Ln, Suite 201, Greenwich, CT 06830-2912 |
| Ruby D Desai | Family Medicine | Stamford Health Medical Group Inc | 75 Holly Hill Ln, Suite 201, Greenwich, CT 06830-2912 |
| Joann Lodescar | Internal Medicine | Stamford Health Medical Group Inc | 75 Holly Hill Ln, Suite 201, Greenwich, CT 06830-2912 |
| Lyuba Kofler | Family Medicine | Stamford Health Medical Group Inc | 75 Holly Hill Ln, Suite 201, Greenwich, CT 06830-2912 |
| Anastasia Slobodnick | Internal Medicine | Stamford Health Medical Group Inc | 75 Holly Hill Ln, Suite 201, Greenwich, CT 06830-2912 |
| Scott J Sullivan | Diagnostic Radiology | Radiology Alliance PC | 4 Dewart Rd, Greenwich, CT 06830-3417 |
| David D Evans | Diagnostic Radiology | Greenwich Radiological Group PC | 49 Lake Ave, Greenwich, CT 06830-4501 |
| Benjamin Jacobs May | Interventional Radiology | Greenwich Radiological Group PC | 49 Lake Ave, Greenwich, CT 06830-4501 |
| Find all physicians in zip 06830 | |||
| City | GREENWICH |
| Zip Code | 06830 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GREENWICH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Idaresit Udo.
| 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.