DEMBE WILSON (NPI# 1083159230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083159230 |
| Entity Type | Individual |
| Full Name | DEMBE WILSON |
| Practice Address |
3030 Westchester Ave Purchase NY 10577-2574 |
| Mailing Address |
2700 Westchester Ave Purchase NY 10577-2547 |
| Practice Telephone | 9146826435 |
| Practice Fax Number | 9146813115 |
| Mailing Telephone | 9146075730 |
| Mailing Fax Number | 9144571195 |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 040668 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04783024 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2700 Westchester Ave, Purchase, NY 105772547 | 9146075726 |
| Street Address |
3030 WESTCHESTER AVE |
| City | PURCHASE |
| State | NY |
| Zip Code | 10577-2574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051143 | Sheldon Alter | Internal Medicine | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2005-05-27 |
| 1639770415 | Jennifer Llanos | Physical Therapist | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2020-11-06 |
| 1821633918 | Sarah Jean Borchert | Physical Therapist | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2019-11-12 |
| 1437700267 | Caitlin Mcnally | Social Worker | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2019-09-23 |
| 1487211967 | Theresa H Brewer | Occupational Therapist | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2019-05-21 |
| 1386116887 | Nataliya Yatsevich | Physical Therapist | 3030 Westchester Ave, Purchase, NY 10577 | 2018-12-20 |
| 1619461043 | Katherine Estelle Wolff | Physical Medicine & Rehabilitation | 3030 Westchester Ave, Purchase, NY 10577 | 2018-06-19 |
| 1093205098 | Lester John Tiglao Pena | Physical Therapist | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2018-05-15 |
| 1184127151 | Patricia Louise Cerbo | Physical Therapist | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2018-03-15 |
| 1083121149 | Jonathan Corti | Physical Therapist | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2018-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077475 | Nicholas Ghelarducci | Psychologist | 2700 Westchester Ave #300, Purchase, NY 10577 | 2019-08-04 |
| 1821507856 | Olubunkunola Bamgbose | Psychologist | 2700 Weschester Avenue, 300, Purchase, NY 10577 | 2017-09-21 |
| 1114334273 | Jessica Kim-vaghela | Obstetrics & Gynecology | 3010 Westchester Ave Ste 400, Purchase, NY 10577 | 2014-07-21 |
| 1912248675 | Massiel Grullon | Nurse Practitioner | 2700 Westchester Avenue, Purchase, NY 10577 | 2013-03-06 |
| 1952676959 | Jeremy Sean Lubin | Dentist | 2975 Westchester Ave. Suite 100, Purchase, NY 10577 | 2012-03-09 |
| 1669790259 | Jane Kim | Anesthesiology | 3030 Westchester Avenue, Purchase, NY 10577 | 2010-05-07 |
| 1184877854 | Jennifer Lynn Dolan | Behavioral Analyst | 2500 Westchester Avenue, All About Kids, Purchase, NY 10577 | 2008-10-28 |
| 1467573642 | Cleopatra Y Espinosa | Physical Therapist | 3010 Westchester Avenue- Suite 107, Suite 107, Purchase, NY 10577 | 2007-04-03 |
| 1851446652 | Michael Joseph Bardwell | Chiropractor | 3000 Westchester Avenue, Suite 203, Purchase, NY 10577 | 2007-01-24 |
| 1528179694 | Michael A Werner Md PC | Urology | 2975 Westcher Ave, Suite G03, Purchase, NY 10577 | 2006-08-31 |
| Find all providers in zip 10577 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982013520 | Jodi Tse | Specialist | 93 Old Well Rd, Purchase, NY 10577-1515 | 2014-08-07 |
| 1437366341 | Wolfgang Tretter | Specialist | 16 Beverly Rd, Purchase, NY 10577-2208 | 2007-05-17 |
| 1588722342 | Anthony Crawford Cahan | Specialist | 3010 Westchester Aveune, 201, Purchase, NY 10577-3417 | 2006-12-05 |
| 1649884859 | Tiffany Joyce Fowler | Specialist | 2975 Westchester Ave Ste 202, Purchase, NY 10577-2500 | 2020-09-04 |
| 1871119230 | Anita Agarwal | Specialist | 2700 Westchester Ave Ste 300, Purchase, NY 10577-2554 | 2020-06-22 |
| 1447896980 | Courtney Anne Brady | Specialist | 2975 Westchester Ave Ste 202, Purchase, NY 10577-2500 | 2019-11-19 |
| 1619523586 | Jacqueline P Kinsley | Specialist | 2975 Westchester Ave, Purchase, NY 10577-2518 | 2019-08-15 |
| 1881246650 | Priscilla Goma | Specialist | 2700 Westchester Ave Ste 300, Purchase, NY 10577-2554 | 2019-07-11 |
| 1467011262 | Yolanda Nicole Pagan | Specialist | 2700 Westchester Ave Ste 300, Purchase, NY 10577-2554 | 2019-06-06 |
| 1679040349 | Alyssa Esposito | Specialist | 2700 Westchester Ave Ste 300, Purchase, NY 10577-2554 | 2018-10-30 |
| Find all providers in PURCHASE | ||||
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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.