MS. TARA OLIDEYKA CROSSMAN (NPI# 1073022174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073022174 |
| Entity Type | Individual |
| Full Name | MS. TARA OLIDEYKA CROSSMAN |
| Practice Address |
1430 Broadway Long Island City NY 11106-4530 |
| Mailing Address |
16102 Jewel Ave Apt 3g Flushing NY 11365-4302 |
| Practice Telephone | 3472561989 |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1430 BROADWAY |
| City | LONG ISLAND CITY |
| State | NY |
| Zip Code | 11106-4530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548741903 | Brooke Ashlie Rudolph | Social Worker | 1430 Broadway, Long Island City, NY 11106-4530 | 2018-08-23 |
| 1679017826 | Frankie Roman | Speech-Language Pathologist | 1430 Broadway, Long Island City, NY 11106-4530 | 2016-12-07 |
| 1679849319 | Giuseppina Onorato | Occupational Therapist | 1430 Broadway, Room 503, Long Island City, NY 11106-4530 | 2012-03-27 |
| 1811263619 | Melissa Ivy Diamond | Physical Therapist | 1430 Broadway, Long Island City, NY 11106-4530 | 2012-03-26 |
| 1487950754 | Pamela Clemens | Speech-Language Pathologist | 1430 Broadway, Room 463, Long Island City, NY 11106-4530 | 2011-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492303 | Faizal Hussein | Physical Therapist | 3244 31st Street, Queens, NY 11106 | 2020-09-18 |
| 1730706086 | Stephanie J Coleman | Counselor | Enable My Child, 3545 28 St, Astoria, NY 11106 | 2020-07-02 |
| 1144870056 | Theresa Pizinger | Nurse Practitioner | 3157 31st St, Phf, Long Island City, NY 11106 | 2019-09-13 |
| 1881164564 | Adam Christopher Maslowski | Social Worker | 34-11 Vernon Blvd., Long Island City, NY 11106 | 2018-11-26 |
| 1730675273 | Astoria Dental Broadway | Dentist | 31-72 31st St, Suite #1, Astoria, NY 11106 | 2018-07-09 |
| 1225552037 | Joslynn Ramos | Social Worker | 14-15 Broadway, Astoria, NY 11106 | 2017-08-02 |
| 1790208791 | Sheilla Jean Baptiste Hadid | Prevention Professional | 34 59 Vernon Blvd Apt 1f, Astoria, NY 11106 | 2017-07-21 |
| 1396267225 | Serena Cisneros | Counselor | 34-25 Vernon Blvd, Long Island City, NY 11106 | 2017-07-12 |
| 1538689302 | Dara Michelle Lazar | Massage Therapist | 14-17 31st Avenue, Apt 2b, Astoria, NY 11106 | 2017-06-22 |
| 1093241143 | Kimlong Chan | Student in an Organized Health Care Education/Training Program | 2320 31st Avenue, Astoria, NY 11106 | 2017-05-11 |
| Find all providers in zip 11106 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336765783 | Shirley Shen | Student in an Organized Health Care Education/Training Program | 4220 27th St Apt 817, Long Island City, NY 11101-8623 | 2020-06-22 |
| 1396370409 | Jonathan R Hyde | Student in an Organized Health Care Education/Training Program | 4323 40th St Apt 6d, Long Island City, NY 11104-3817 | 2020-03-09 |
| 1013556075 | Iryna Bilga | Student in an Organized Health Care Education/Training Program | 1114 46th Ave Apt 2d, Long Island City, NY 11101-5242 | 2019-12-22 |
| 1801459698 | Danielle Conley | Student in an Organized Health Care Education/Training Program | 2148 45th Rd, Long Island City, NY 11101-4707 | 2019-04-17 |
| 1437612314 | Shreyans Sanghvi | Student in an Organized Health Care Education/Training Program | 4536 39th Pl Apt 2b, Long Island City, NY 11104-3537 | 2019-04-09 |
| 1891277927 | Yvonne Cuello | Student in an Organized Health Care Education/Training Program | 1430 Broadway Rm 522, Long Island City, NY 11106-4530 | 2018-09-05 |
| 1669994950 | Lakshmi Anandini Suri | Student in an Organized Health Care Education/Training Program | 4129 24th St Apt 3g, Long Island City, NY 11101-3913 | 2017-07-09 |
| 1730609421 | Mallika Prakash | Student in an Organized Health Care Education/Training Program | 4310 Crescent St Apt 1511, Long Island City, NY 11101-4252 | 2017-06-22 |
| 1811449648 | Yoonjung Noh | Student in an Organized Health Care Education/Training Program | 4549 40th St Apt 1r, Long Island City, NY 11104-3921 | 2016-10-27 |
| 1588110316 | Gregory Versailles | Student in an Organized Health Care Education/Training Program | 36-36 33rd St., Long Island City, NY 11106-2329 | 2016-08-31 |
| Find all providers in LONG ISLAND CITY | ||||
| City | LONG ISLAND CITY |
| Zip Code | 11106 |
Please comment or provide details below to improve the information on MS. TARA OLIDEYKA CROSSMAN.
| 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.