CARLY BROD (NPI# 1003261017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003261017 |
| Entity Type | Individual |
| Full Name | CARLY BROD |
| Credential | M.S.ED |
| Practice Address |
280 Crossways Park Drive Woodbury NY 11787 |
| Mailing Address |
1919 Charles Street Bellmore NY 11710 |
| Practice Telephone | 5169281784 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2563909 | NY | Other Service Providers |
| Street Address |
280 CROSSWAYS PARK DRIVE |
| City | WOODBURY |
| State | NY |
| Zip Code | 11787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275666158 | Edwin Schmierer | Clinical Neuropsychologist | 280 Crossways Park Drive, Preaschool Development Program, Woodbury, NY 11797 | 2007-03-13 |
| 1285902700 | Jean Marie Colberg | Registered Nurse | 280 Crossways Park Drive, Woodbury, NY 11797 | 2011-12-12 |
| 1699043414 | Michele Katzenstein | Registered Nurse | 280 Crossways Park Drive, Woodbury, NY 11797 | 2011-12-07 |
| 1730463712 | Andrea Gerson | Psychologist | 280 Crossways Park Drive, Woodbury, NY 11797 | 2011-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023662251 | Eva Frances Siegel | Specialist | 7 The Brae, Woodbury, NY 11797-2813 | 2019-07-25 |
| 1811455082 | Jenny Levinson | Specialist | 16 Fox Hollow Rd, Woodbury, NY 11797-1612 | 2019-03-06 |
| 1366921827 | Matt Dutton | Specialist | 1 Highpoint Ct, Woodbury, CT 06798-3228 | 2018-08-07 |
| 1073011284 | Dawn Lund Collins | Specialist | 13 Seward Dr, Woodbury, NY 11797-2608 | 2018-01-23 |
| 1720532591 | Stacy Silverman | Specialist | 16 Jennings Ct, Woodbury, NY 11797-3025 | 2016-08-10 |
| 1215386107 | Danielle Nicole Millman | Specialist | 3 Club House Ct, Woodbury, NY 11797-3028 | 2016-06-10 |
| 1295142339 | Traci Conrad Mankuta | Specialist | 30 Woodlake Dr E, Woodbury, NY 11797-2317 | 2014-07-21 |
| 1568875078 | Robin Black | Specialist | 122 Woodlake Dr W, Woodbury, NY 11797-2311 | 2014-06-03 |
| 1396170577 | Lee Farrell Green | Specialist | 7663 Jericho Tpke, Woodbury, NY 11797-1703 | 2013-09-06 |
| 1043566359 | Susan Joy Rind | Specialist | 60 Dalor Ct, Woodbury, NY 11797-2908 | 2012-07-24 |
| Find all providers in WOODBURY | ||||
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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.