CECIL A DOLLISON (NPI# 1043530769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043530769 |
| Entity Type | Individual |
| Full Name | CECIL A DOLLISON |
| Practice Address |
1349 Broadway Brooklyn NY 11221-3618 |
| Practice Telephone | 7189752270 |
| Practice Fax Number | 7189752271 |
| Mailing Telephone | 7189752270 |
| Mailing Fax Number | 7189752271 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2014-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 006648 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1349 BROADWAY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11221-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871103416 | Brooke Bailey | Physician Assistant | 1349 Broadway, Brooklyn, NY 11221-6162 | 2020-08-07 |
| 1992349476 | Elizabeth Sokolova | Nurse Practitioner | 1349 Broadway, Brooklyn, NY 11221 | 2019-10-29 |
| 1699248823 | Marla Nord-henry | Nurse Practitioner | 1349 Broadway, Brooklyn, NY 11221-6162 | 2019-01-10 |
| 1356878755 | Kevelyn K Ibeh | Family Medicine | 1349 Broadway, Brooklyn, NY 11221-6162 | 2017-05-16 |
| 1629420823 | Duke Bailey | Nurse Practitioner | 1349 Broadway, Brooklyn, NY 11221-6162 | 2016-07-12 |
| 1902258338 | Shamara Alterno | Registered Nurse | 1349 Broadway, Brooklyn, NY 11221-6162 | 2016-07-11 |
| 1992116701 | Ag Urgent Care, P.C. | Emergency Medicine | 1349 Broadway, 1st Floor, Brooklyn, NY 11221-3618 | 2014-05-14 |
| 1922359827 | Marie Andree Benoit | Registered Nurse | 1349 Broadway, Brooklyn, NY 11221-3618 | 2012-10-02 |
| 1841566510 | Levi H. Lehv, M.d.,p.c. | Internal Medicine | 1349 Broadway, Brooklyn, NY 11221-3618 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487280558 | Katherine Purtle | Speech-Language Pathologist | 995 Lafayette Ave, Garden, Brooklyn, NY 11221 | 2020-03-20 |
| 1528573078 | Magali Cruz-anselme | Registered Nurse | Ebc High School, 1155 Dekalb Ave, Brooklyn, NY 11221 | 2017-12-06 |
| 1972015220 | Faith Nicole Lawrence | Social Worker | 406 Kosciuszko Street, Brooklyn, NY 11221 | 2017-10-26 |
| 1740704311 | Tanisha Williams | Social Worker | 293 Kosciuszko Street, Brooklyn, NY 11221 | 2017-07-26 |
| 1376072504 | Jessica Danielle Rowland | Behavioral Analyst | 706 Quincy Street, Brooklyn, NY 11221 | 2017-06-10 |
| 1396274668 | Kabetha Udayan | Case Manager/Care Coordinator | 163 Van Buren Street, Brooklyn, NY 11221 | 2017-06-08 |
| 1952858581 | Nadia Khalil | Specialist | 111 Living Ton Street, Brooklyn, NY 11221 | 2016-09-01 |
| 1467905240 | Kavena Shell Foxworth | Licensed Practical Nurse | 600 Gates Avenue, Apt 6b, Brooklyn, NY 11221 | 2016-07-28 |
| 1881056919 | Diondra Edmonds | Registered Nurse | 217 Lewis Ave, 4r, Brooklyn, NY 11221 | 2016-03-28 |
| 1871953984 | Ultimate Care, Inc. | Home Health | 1000 Gates Ave, 4th Floor, Brooklyn, NY 11221 | 2016-03-02 |
| Find all providers in zip 11221 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| 1376142737 | Amanda Shinall | Physician Assistant | 28 Old Fulton St Apt 4b, Brooklyn, NY 11201-6909 | 2020-10-18 |
| 1497353825 | Tsz Yan Soo | Physician Assistant | 8825 26th Ave Fl 2, Brooklyn, NY 11214-5408 | 2020-10-16 |
| 1164038907 | Emily Mai | Physician Assistant | 1956 W 9th St, Brooklyn, NY 11223-2548 | 2020-09-17 |
| 1497369342 | Krystal Renee Alexander | Physician Assistant | 2225 Ditmas Ave Apt 1a, Brooklyn, NY 11226-6993 | 2020-09-08 |
| 1578177390 | Celia Chen | Physician Assistant | 2628 E 18th St, Brooklyn, NY 11235-3659 | 2020-08-31 |
| 1669084547 | Peter Forman | Physician Assistant | 86 Saint Felix St, Brooklyn, NY 11217-3032 | 2020-08-20 |
| 1699383646 | Fabienne Mondelus | Physician Assistant | 715 E 108th St Apt 3c, Brooklyn, NY 11236-2929 | 2020-07-15 |
| 1508492729 | Esther Weitzner | Physician Assistant | 1195 E 12th St, Brooklyn, NY 11230-4811 | 2020-03-19 |
| Find all providers in BROOKLYN | ||||
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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.