Sara R El Bashir (NPI# 1396189585, PAC ID# 3476834441) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1396189585 |
| PAC ID by PECOS | 3476834441 |
| Professional Enrollment ID | I20170105001315 |
| Full Name | Sara R El Bashir |
| Organization Legal Name | EAST PATCHOGUE PODIATRY P.C. |
| Address |
1641 Route 112 Medford NY 11763-3663 |
| Phone Number | 6314470800 |
| Gender | F |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 2668502527 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330141 | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 285 Sills Rd, East Patchogue, NY 11772-4869 | 6316545566 | EAST PATCHOGUE PODIATRY P.C. |
| 1641 Route 112, Medford, NY 11763-3663 | 6314470800 | EAST PATCHOGUE PODIATRY P.C. |
| 101 Hospital Rd, Patchogue, NY 11772-4870 | 6316547100 | EAST PATCHOGUE PODIATRY P.C. |
| 806 E Main St, Riverhead, NY 11901-2563 | 6313810201 | EAST PATCHOGUE PODIATRY P.C. |
| Organization Legal Name | EAST PATCHOGUE PODIATRY P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward C Kormylo | Podiatry | East Patchogue Podiatry P.C. | 285 Sills Rd, East Patchogue, NY 11772-4869 |
| Kristina A Karlic | Podiatry | East Patchogue Podiatry P.C. | 285 Sills Rd, East Patchogue, NY 11772-4869 |
| Edward J Kormylo | Podiatry | East Patchogue Podiatry P.C. | 285 Sills Rd, East Patchogue, NY 11772-4869 |
| Street Address |
1641 ROUTE 112 |
| City | MEDFORD |
| State | NY |
| Zip | 11763-3663 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily F Chappell | Clinical Social Worker | 3239 Route 112 5, Medford, NY 11763-1432 | |
| Raj D Tolat | Physical Medicine and Rehabilitation | 2920 Route 112, Medford, NY 11763-1451 | |
| Isaac J Alamuri | Family Medicine | 23 Bloomington St, Medford, NY 11763-1579 | |
| Sang H Song | Physical Medicine and Rehabilitation | 700 Patchogue Yaphank Rd, Suite 49, Medford, NY 11763-2239 | |
| Muhammad Imran | Physical Therapy | 700 Patchogue Yaphank Rd, Suite 49, Medford, NY 11763-2239 | |
| Jennifer L Wellman | Occupational Therapy | Home Advantage Occupational Therapy, P.C. | 12 Platinum Court, Medford, NY 11763-2247 |
| Cydney E Taylor | Physician Assistant | Prince Medicine PC | 12 Platinum Ct, Medford, NY 11763-2247 |
| Randy Lee Parr | Physician Assistant | Prince Medicine PC | 12 Platinum Ct, Medford, NY 11763-2247 |
| Scott Richard Lindsay | Physical Therapy | Evolution Home Physical Therapy, P.C. | 12 Platinum Ct, Medford, NY 11763-2247 |
| David Nieves | Physical Therapy | Evolution Home Physical Therapy, P.C. | 12 Platinum Ct, Medford, NY 11763-2247 |
| Find all physicians in zip 11763 | |||
| City | MEDFORD |
| Zip Code | 11763 |
| Specialty | PODIATRY |
| City + Specialty | MEDFORD + PODIATRY |
Please comment or provide details below to improve the information on Sara R El Bashir.
| 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.