Mark Dimartino (NPI# 1598787095, PAC ID# 7214126382) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1598787095 |
| PAC ID by PECOS | 7214126382 |
| Professional Enrollment ID | I20110105001237 |
| Full Name | Mark Dimartino |
| Organization Legal Name | CONIFER PARK INC |
| Address |
2435 6th Ave Troy NY 12180-2227 |
| Phone Number | 5182745143 |
| Gender | M |
| Graduation Year | 1980 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2769470384 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 79 Glenridge Rd, Scotia, NY 12302-4523 | 5189522000 | CONIFER PARK INC |
| 2435 6th Ave, Troy, NY 12180-2227 | 5182745143 | CONIFER PARK INC |
| Organization Legal Name | CONIFER PARK INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Briana Link | Clinical Social Worker | Conifer Park Inc | 600 Franklin St, Schenectady, NY 12305-2100 |
| James Brian Smith | Clinical Social Worker | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| David L Tymchyn | Clinical Social Worker | Conifer Park Inc | 2435 6th Ave, Troy, NY 12180-2227 |
| Michael W Slome | Psychiatry | Conifer Park Inc | 1 Cottage, Glenville, NY 12302 |
| Jean A Miles | Physician Assistant | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| Christopher J Davis | General Practice | Conifer Park Inc | 1 Cottage, Glenville, NY 12302 |
| Kathleen Anne Whaley | Addiction Medicine | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| Elias Christidis | Internal Medicine | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| Street Address |
2435 6TH AVE |
| City | TROY |
| State | NY |
| Zip | 12180-2227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Tymchyn | Clinical Social Worker | Conifer Park Inc | 2435 6th Ave, Troy, NY 12180-2227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew G Gunther | Orthopedic Surgery | Samaritan Hospital of Troy New York | 279 Troy Rd, Troy, NY 12180 |
| Mandy Black | Nurse Practitioner | Samaritan Hospital of Troy New York | 279 Troy Rd, Troy, NY 12180 |
| Jeffrey R Root | Psychologist, Clinical | Samaritan Hospital of Troy New York | 279 Troy Rd, Troy, NY 12180 |
| Elizabeth Devereux | Nurse Practitioner | Samaritan Hospital of Troy New York | 279 Troy Rd, Troy, NY 12180 |
| Robert Zaven Dadekian | Rheumatology | 1302 Park Blvd, Troy, NY 12180-1403 | |
| Charles M Sulzman | Internal Medicine | Samaritan Hospital of Troy New York | 1401 Massachusetts Ave, Troy, NY 12180-1621 |
| Peter R Maggiore | Internal Medicine | Samaritan Hospital of Troy New York | 1401 Massachusetts Ave, Troy, NY 12180-1621 |
| Kristen A Santos | Internal Medicine | Samaritan Hospital of Troy New York | 1401 Massachusetts Ave, Troy, NY 12180-1621 |
| Beverley L Krauss | Physician Assistant | Seton Health System, Inc | 1401 Massachusetts Ave, Troy, NY 12180-1621 |
| Janet L Alloway | Physician Assistant | Samaritan Hospital of Troy New York | 1300 Massachusetts Ave, Troy, NY 12180-1628 |
| Find all physicians in zip 12180 | |||
| City | TROY |
| Zip Code | 12180 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | TROY + CLINICAL SOCIAL WORKER |
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| 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.