Mohawk Glen Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOHAWK GLEN FAMILY PRACTICE PLLC

Practice address

91 Perimeter Rd
Suite 120
Rome, NY 13441-4018

Phone

(315) 336-4830

NPI assigned

Jul 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anthony M Cotronea, MD

Title

Owner

Phone

(315) 336-4830

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie R Angell, R, PA-C

  • Medical Physician Assistant
  • Munnsville, NY
  • NPI 1831137942
  NPD (past)
• Ziyad Al Ola, MD

  • Family Medicine Physician
  • Waldwick, NJ
  • NPI 1295756401
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194746354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 PERIMETER RD",
            "address_2": "SUITE 120",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134414018",
            "telephone_number": "315-336-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 PERIMETER RD",
            "address_2": "SUITE 120",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134414018",
            "telephone_number": "315-336-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAWK GLEN FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COTRONEA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-336-4830",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balshik Min, M.D.
• MLS Health Inc
• Malek Mohamed
• Maysarah Gamal Mohamed
• Mohammed Seedat MD and Coral Nicholas MD PLLC
• Mohawk Glen Imaging PC
• Mohawk Glen Radiology Associates of Cny PLLC
• Mohawk Glen Urgent Care, PLLC
• Mohawk Valley Open MRI, PC
• Mohawk Valley Womens Health Associates LLP

• Family Medicine Physician in Rome, NY
• Providers in Rome, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.