EAST GREENBUSH NEUROLOGY OFFICE, PLLC (NPI# 1013144823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013144823 |
| Entity Type | Organization |
| Organization Name | EAST GREENBUSH NEUROLOGY OFFICE, PLLC |
| Practice Address |
1528 Columbia Tpke Castleton NY 12033-9584 |
| Practice Telephone | 5186943053 |
| Practice Fax Number | 5186943056 |
| Mailing Telephone | 5186943053 |
| Mailing Fax Number | 5186943056 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2017-07-28 |
| Authorized Official Name | DR. HANI MIDANI (SOLE PROPIETOR) |
| Authorized Official Telephone | 5186943053 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
214014 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01954374 | 05 | |
| NY | MEDICARE ID-TYPE UNSPECIFIED | BB5753 | 01 |
| Street Address |
1528 COLUMBIA TPKE |
| City | CASTLETON |
| State | NY |
| Zip Code | 12033-9584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407837990 | Richard A Altwerger | Podiatrist | 1528 Columbia Tpke, Suite102, Castleton, NY 12033-9584 | 2005-11-10 |
| 1164793808 | Lettrick Family Medicine Pllc | Family Medicine | 1528 Columbia Tpke, Castleton, NY 12033-9584 | 2012-01-25 |
| 1447232855 | Michael Allen Lettrick | Family Medicine | 1528 Columbia Tpke, Castleton, NY 12033-9584 | 2005-11-19 |
| 1326020181 | Michael A. Lettrick Md PC | Family Medicine | 1528 Columbia Tpke, Castleton, NY 12033-9584 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598263428 | Taylor M Lanoue | Physical Therapist | 81 Miller Road, Suite 400, Castleton, NY 12033 | 2018-01-25 |
| 1033586631 | Shannon Horan | Licensed Practical Nurse | 2 Anderson Avenue, Castleton, NY 12033 | 2015-08-31 |
| 1528335510 | Anne Valerio Goff | Social Worker | 10 Empire State Blvd., Questar IIi, Castleton, NY 12033 | 2011-11-19 |
| 1740566611 | Dana Garber | Local Education Agency (LEA) | 10 Empire Blvd, Castleton, NY 12033 | 2011-10-24 |
| 1487937769 | Frances F Owen | Social Worker | 1477 So. Schodack Road, Maple Hill Middle School, Castleton, NY 12033 | 2011-09-23 |
| 1083902530 | Stacy Marie Herron | Speech-Language Pathologist | 80 Scott Avenue, Castleton, NY 12033 | 2011-07-19 |
| 1578681425 | Phillip S Weisburgh | Pharmacist | 1645 Columbia Tpk, Castleton, NY 12033 | 2007-03-27 |
| 1831244698 | Schodack Central School District | Local Education Agency (LEA) | 1216 Maple Hill Road, Castleton, NY 12033 | 2007-01-24 |
| 1174607972 | Donna Schaefer | Physician Assistant | Community Care Schodack, 81 Miller Road, Suite 800, Castleton, NY 12033 | 2006-10-25 |
| 1184675142 | Marcella Barbour Fiacco | Dietitian, Registered | 1523 Columbia Turnpike, Serenity Day Spa, Castleton, NY 12033 | 2006-05-15 |
| Find all providers in zip 12033 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619936200 | Hani Midani | Psychiatry & Neurology | 1528 Columbia Turnpike, Castleton, NY 12033 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638275 | Oversight Physician Services Pllc | Psychiatry & Neurology | 198 Sussex Dr, Manhasset, NY 11030-3737 | 2020-08-04 |
| 1841818234 | Padmaja Aradhya Md Pllc | Psychiatry & Neurology | 17 Dillon Dr, Dix Hills, NY 11746-7945 | 2020-07-11 |
| 1184279085 | All Island Neurology PC | Psychiatry & Neurology | 11617 Atlantic Ave, Richmond Hill, NY 11418-3141 | 2019-08-07 |
| 1346802352 | Ny Neurology Medicine PC | Psychiatry & Neurology | 305 7th Ave Rm 13c, New York, NY 10001-6155 | 2019-07-01 |
| 1770144636 | Upstate Neurology P.C. | Psychiatry & Neurology | 804 Syska Rd, Ossining, NY 10562-1424 | 2019-06-21 |
| 1659836518 | David T Finkelstein | Psychiatry & Neurology | 3619 Bedford Ave Apt 1b, Brooklyn, NY 11210-5254 | 2019-02-05 |
| 1801360029 | Ghassan George Haddad | Psychiatry & Neurology | 20 Waterside Plz Apt 26e, New York, NY 10010-2665 | 2019-01-22 |
| 1427527472 | Daniel Ahoubim Md PC | Psychiatry & Neurology | 37 W 26th St Rm 204, New York, NY 10010-1145 | 2018-11-20 |
| 1053889378 | Paul Wright, M.d. | Psychiatry & Neurology | 500 N Broadway Ste 16, Jericho, NY 11753-2127 | 2018-11-05 |
| 1770096109 | Wpw Medical, Pllc | Psychiatry & Neurology | 280 Dobbs Ferry Rd Ste 206, White Plains, NY 10607-1912 | 2017-11-07 |
| Find all providers with the same taxonomy | ||||
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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.