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Physician Compare National (NPI:1750428694)

HEALTHCARE PROVIDER: NYDIA ESTHER STURGES MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1750428694
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4789621905
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20050409000100
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name STURGES
Individual professional last name
Provider First Name NYDIA
Individual professional first name
Provider Middle Name E
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Individual professional's medical school
Graduation Year 1979
Individual professional's medical school graduation year
Primary Specialty GENERAL PRACTICE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 EMERGENCY MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties EMERGENCY MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 242 W KERLEY CORNERS RD
Group Practice or individual's line 1 address
City TIVOLI
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 125835800
Group Practice or individual's zip code (9 digits when available)
Phone Number 8457575291
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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