RENEE GAMBOL (NPI# 1003037607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003037607 |
| Entity Type | Individual |
| Full Name | RENEE GAMBOL |
| Other Name | MRS. RENEE GAMBOL |
| Practice Address |
1329 Beach Channel Drive Far Rockaway NY 11691 |
| Mailing Address |
385 Bayview Ave Inwood NY 11096 |
| Practice Telephone | 7183376850 |
| Mailing Telephone | 7183376850 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | 1891 | OK | Behavioral Health & Social Service Providers |
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11346 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1329 BEACH CHANNEL DRIVE |
| City | FAR ROCKAWAY |
| State | NY |
| Zip Code | 11691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518032168 | Rebeca Fishman Aghassi | Social Worker | 1329 Beach Channel Drive, Far Rockaway, NY 11691 | 2006-11-21 |
| 1235389818 | Christina Anne Fraser | Social Worker | 1329 Beach Channel Drive, Far Rockaway, NY 11691-3211 | 2008-09-19 |
| 1861604977 | Mariana Alexandra Solis-tito | Social Worker | 1329 Beach Channel Drive, Far Rockaway, NY 11691 | 2007-05-03 |
| 1831310424 | Vanzetta Yvonne Stallworth | Counselor | 1329 Beach Channel Drive, Far Rockaway, NY 11691 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261772 | Jalpa Dholaria | Physical Therapist | 265 Beach 20th Street, Far Rockaway, NY 11691 | 2020-09-30 |
| 1578179529 | Sneha Satheesh Menon | Physical Therapist | 265 Beach 20th Street Far Rockaway, Queens, NY 11691 | 2020-09-16 |
| 1558997676 | Manuel Garcia Morell | Student in an Organized Health Care Education/Training Program | 327 Beach 19 Th St, Far Rockaway, Queens, NY 11691 | 2020-03-20 |
| 1750927992 | Barbrara Graham | Licensed Practical Nurse | 143 Baech 26th Street, Apt 2, Far Rockaway, NY 11691 | 2019-11-22 |
| 1639735665 | Ernest Okwuonu | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St., Rockaway, NY 11691 | 2019-05-15 |
| 1700342433 | Reliable Care Consulting LLC | Case Management | 1858 Cornaga Ave, 2nd Fl., Far Rockaway, NY 11691 | 2019-02-19 |
| 1336604008 | Menaka Abeyewardene | Student in an Organized Health Care Education/Training Program | St. John's Episcopal Hospital, 327 Beach 19th Street, Far Rockaway, NY 11691 | 2019-02-06 |
| 1346733441 | Keisha Taylor-glanville | Social Worker | 20-2 Seagrit Blvd., Queens, NY 11691 | 2018-06-13 |
| 1336631035 | Michael Y Ivry Dds PC | Oral & Maxillofacial Surgery | 2550 Seagirt Blvd, Far Rockaway, NY 11691 | 2018-05-30 |
| 1992202071 | Angel David Aponte | Student in an Organized Health Care Education/Training Program | 327 Beach 19st, Internal Medicine Dpt, Far Rockaway, NY 11691 | 2018-04-06 |
| Find all providers in zip 11691 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912322660 | David Rood-ojalvo | Counselor | 18-45 Mott Avenue, Far Rockaway, NY 11691 | 2014-03-04 |
| 1427302488 | Elazar Bronstein | Counselor | 257 B.17th St., Far Rockaway, NY 11691 | 2012-10-30 |
| 1093911075 | Shoshana Perr | Counselor | 806 Roosevelt Court, Far Rockaway, NY 11691 | 2007-06-26 |
| 1669560991 | Tanya Clements | Counselor | 2002 Seagirt Blvd, Far Rockaway, NY 11691-2805 | 2006-10-11 |
| 1669070249 | Anisthesia Thompson | Counselor | 694 Beach 20th St, Far Rockaway, NY 11691-3502 | 2020-10-15 |
| 1306488556 | Mondy Julisse | Counselor | 1847 Mott Ave, Far Rockaway, NY 11691-4201 | 2019-10-09 |
| 1992281166 | Cheryl Ashley Parisi | Counselor | 720 Beach 20th St, Far Rockaway, NY 11691-3502 | 2018-07-11 |
| 1386136695 | Marie-darline D'haiti | Counselor | 720 Beach 20th St, Far Rockaway, NY 11691-3502 | 2018-06-01 |
| 1396263422 | Natasha Villegas | Counselor | 718 Beach 20th St, Far Rockaway, NY 11691-3502 | 2017-09-09 |
| 1285182824 | Adina Druxman | Counselor | 156 Beach 9th St, Far Rockaway, NY 11691-5636 | 2016-09-12 |
| Find all providers in FAR ROCKAWAY | ||||
| City | FAR ROCKAWAY |
| Zip Code | 11691 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.