DR. TRACY LAWRENCE-BLACK (NPI# 1033119953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033119953 |
| Entity Type | Individual |
| Full Name | DR. TRACY LAWRENCE-BLACK |
| Credential | MD |
| Practice Address |
95 Bradhurst Ave Valhalla NY 10595-1637 |
| Mailing Address |
53 Stonewall Cir West Harrison NY 10604-1126 |
| Practice Telephone | 9145927555 |
| Practice Fax Number | 8663105326 |
| Mailing Telephone | (240) 205-0861 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
053808 | CT | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
281882 | NY | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
33644 | DC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3800 Reservoir Rd Nw, Washington, DC 200072113 | 2024445437 |
| Street Address |
95 BRADHURST AVE |
| City | VALHALLA |
| State | NY |
| Zip Code | 10595-1637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588263370 | Bianca Nicky Pardovany | Speech-Language Pathologist | 95 Bradhurst Ave, Valhalla, NY 10595-1697 | 2020-10-22 |
| 1508487323 | Shannon O'brien | Speech-Language Pathologist | 95 Bradhurst Ave, Valhalla, NY 10595-1697 | 2020-05-04 |
| 1922656792 | Kali Mcnamara | Speech-Language Pathologist | 95 Bradhurst Ave, Valhalla, NY 10595-1697 | 2019-08-26 |
| 1629511530 | Danielle Kinsella | Physical Therapist | 95 Bradhurst Ave, Valhalla, NY 10595-1637 | 2016-11-25 |
| 1558813675 | Kathryn Nath | Nurse Practitioner | 95 Bradhurst Ave, Valhalla, NY 10595-1637 | 2016-10-25 |
| 1184175713 | Blythedale Children's Hospital | Pharmacy | 95 Bradhurst Ave, Pharmacy Department, Valhalla, NY 10595-1637 | 2016-10-19 |
| 1700239043 | Kate Wolosky | Specialist | 95 Bradhurst Ave, Valhalla, NY 10595-1637 | 2016-07-21 |
| 1326419045 | Sarah E Petrie | Occupational Therapist | 95 Bradhurst Ave, Valhalla, NY 10595-1637 | 2015-10-08 |
| 1275910135 | Jennifer Chalsen | Speech-Language Pathologist | 95 Bradhurst Ave, Valhalla, NY 10595-1637 | 2015-04-29 |
| 1750771010 | Blythedale Children's Hospital | Early Intervention Provider Agency | 95 Bradhurst Ave, Valhalla, NY 10595-1637 | 2015-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126946 | Evan Alexander Formosa | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottege Road, New York Medical College Student Affairs Suite 122a, Valhalla, NY 10595 | 2020-02-18 |
| 1124673223 | Mozibur Rahman | Student in an Organized Health Care Education/Training Program | C/o Pathology, 100 Woods Rd, Valhalla, NY 10595 | 2019-08-06 |
| 1235650243 | Ana Karla F Arias | Psychologist | 503 Grasslands Roas, Suite 101, Valhalla, NY 10595 | 2017-06-29 |
| 1336682327 | Adriana Josandy Arias | Case Manager/Care Coordinator | 503 Grasslands Rd, Suite 101, Valhalla, NY 10595 | 2016-11-23 |
| 1740632934 | Philippe Hoffmann | Counselor | 1700 Old Orchard, Valhalla, NY 10595 | 2016-07-12 |
| 1396195020 | Elizabeth Hendricks | Social Worker | 1700 Old Orchard St, Valhalla, NY 10595 | 2016-06-14 |
| 1427437771 | Stephany Rodriguez | Case Manager/Care Coordinator | 503 Grasslands Road, Suite 101, Valhala, NY 10595 | 2015-05-20 |
| 1437536182 | Shajiuddin Faraz Mohammed | Psychiatry & Neurology | 100 Woods Road Behavioral Health Center Suite-n314, Westchester Medical Center, Department of Psychiatry, Valhalla, NY 10595 | 2015-05-01 |
| 1841685013 | Barbara Constantine | Physical Therapist | 70 Colubus Ave., Valhalla, NY 10595 | 2015-04-03 |
| 1316330418 | Victor Tseng | Anesthesiology | 100 Woods Rd Rm D-228, Valhalla, NY 10595 | 2015-03-12 |
| Find all providers in zip 10595 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437597614 | Umesh Paudel | Pediatrics | 100 Woods Rd Pmb 605, Valhalla, NY 10595 | 2013-06-10 |
| 1194171744 | Max M Shenberger | Pediatrics | 100 Woods Rd, Valhalla, NY 10595-1530 | 2016-05-12 |
| 1740635226 | Emily Marmarou | Pediatrics | 100 Woods Rd, Valhalla, NY 10595-1530 | 2016-05-03 |
| 1871933499 | Shaili Amatya | Pediatrics | 100 Woods Rd, Valhalla, NY 10595-1530 | 2013-06-27 |
| 1386902146 | Karen Angela Hussein | Pediatrics | 100 Woods Rd, Valhalla, NY 10595 | 2012-04-30 |
| 1134412885 | Raja Rajeswari Senguttuvan | Pediatrics | 100 Woods Rd, Department of Pediatrics, Division of Newborn Medicine, Valhalla, NY 10595-1530 | 2011-05-26 |
| 1518194422 | Portia Groening | Pediatrics | 100 Woods Rd, Westchester Medical Center, Valhalla, NY 10595-1530 | 2009-06-18 |
| 1114137536 | Johanna Echavez Calo | Pediatrics | 95 Grasslands Rd, Valhalla, NY 10595-1652 | 2007-05-23 |
| 1962618934 | Alice O Valencia-castillo | Pediatrics | 95 Grasslands Rd, Valhalla, NY 10595-1646 | 2007-05-15 |
| 1073732848 | Reeja Vembenil | Pediatrics | 95 Grasslands Rd, Rnicu, 2nd Floor, Mf Children's Hosp At Wmc, Valhalla, NY 10595-1646 | 2007-04-24 |
| Find all providers in VALHALLA | ||||
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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.