MR. ALLEN M GOLIBERSUCH (NPI# 1073884912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073884912 |
| Entity Type | Individual |
| Full Name | MR. ALLEN M GOLIBERSUCH |
| Practice Address |
12444 Broadway St. Alden NY 14004 |
| Mailing Address |
12444 Broadway St Alden NY 14004-9529 |
| Practice Telephone | 7169378888 |
| Practice Fax Number | 7169378889 |
| Mailing Telephone | 7169378888 |
| Mailing Fax Number | 7169378889 |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
NY8737 | NY | Eye and Vision Services Providers |
| Street Address |
12444 BROADWAY ST. |
| City | ALDEN |
| State | NY |
| Zip Code | 14004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376970632 | Robert C Dundon Jr. | Nurse Practitioner | 12705 Uebelhoer Rd, Alden, NY 14004 | 2013-10-02 |
| 1578707253 | Ruth A. Johnson, M.d. | Nurse Practitioner | 13500 Broadway, Alden, NY 14004 | 2009-04-27 |
| 1053565069 | Donna Marie Garas | Speech-Language Pathologist | 472 Woodside Ct., Alden, NY 14004 | 2008-11-05 |
| 1467473058 | Frank A. Torrelli Sr. | Chiropractor | 13167 Broadway, Alden, NY 14004 | 2006-07-21 |
| 1194713693 | Hope Obertean | Nurse Practitioner | 3040 Wende Rd, Alden, NY 14004 | 2005-10-10 |
| 1275520538 | Alden Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 13185 Broadway, Alden, NY 14004 | 2005-10-03 |
| 1669729984 | Lara Darling | Nurse Practitioner | 3040 Wende Rd, Alden, NY 14004 | 2012-08-06 |
| 1629101753 | Alden Central School District | Local Education Agency (LEA) | 13190 Park St, Alden, NY 14004-1022 | 2007-03-14 |
| 1881942050 | Marci Ann Oar | Speech-Language Pathologist | 13190 Park St, Alden, NY 14004-1022 | 2012-08-20 |
| 1831447101 | Erin Lee Bibler | Speech-Language Pathologist | 13250 Park St, Alden, NY 14004-1023 | 2012-08-17 |
| Find all providers in zip 14004 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609099563 | Creighton Optical | Technician/Technologist | 13375 Broadway St, Alden, NY 14004-1410 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1396350757 | Galo Andrade II | Technician/Technologist | 123 State Route 94 S Ste 2, Warwick, NY 10990-3664 | 2020-09-12 |
| 1962016022 | Mathilde Brecy | Technician/Technologist | 248 Columbus Ave, New York, NY 10023-3331 | 2020-09-04 |
| 1417566258 | Neziah Maloney | Technician/Technologist | 43 President St, Huntington Station, NY 11746-2345 | 2020-07-28 |
| 1689290199 | Akeel Adil | Technician/Technologist | 9142 82nd St, Jamaica, NY 11421-2914 | 2020-06-20 |
| 1588289292 | Vision Express Optix Inc | Technician/Technologist | 98106 Queens Blvd, Rego Park, NY 11374-4354 | 2020-06-09 |
| 1942821749 | Frank Panzarella | Technician/Technologist | 364 Vermont St, Lindenhurst, NY 11757-5241 | 2020-05-03 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1023644291 | Martha Canon | Technician/Technologist | 1440 Broadway # 10826, New York, NY 10018-2301 | 2020-03-19 |
| 1619500964 | Raphael Optical Inc. | Technician/Technologist | 303 Wyckoff Ave, Brooklyn, NY 11237-5805 | 2020-02-14 |
| 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.