DIANE KATHLEEN PASTOR (NPI# 1093073710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093073710 |
| Entity Type | Individual |
| Full Name | DIANE KATHLEEN PASTOR |
| Credential | N.P. |
| Practice Address |
4 Lord Joes Lndg Northport NY 11768-1570 |
| Practice Telephone | 6317546819 |
| Mailing Telephone | 6317546819 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F305997-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4 LORD JOES LNDG |
| City | NORTHPORT |
| State | NY |
| Zip Code | 11768-1570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649753088 | Tania Morris | Developmental Therapist | 130 Main St, #1, Northport, Ny 11768, Northport, NY 11768 | 2018-09-12 |
| 1639698343 | Karen Yuan Wong | Student in an Organized Health Care Education/Training Program | 79 Middleviille Rd., Optometry 123, Northport, NY 11768 | 2017-09-13 |
| 1821514795 | Village Speech and Language Pllc | Clinic/Center | 62 Makamah Beach Rd, Northport, NY 11768 | 2017-08-22 |
| 1073960415 | Dennis Falco | Private Vehicle | 5 Captain Richards Ln, Fort Salonga, NY 11768 | 2016-05-16 |
| 1679938252 | Debra Marie Failla | Psychologist | 260 Main Street, Suite 202, Northport, NY 11768 | 2015-12-23 |
| 1649649096 | Lillian Patricia Fais | Specialist | 26 Josephine Lane, Fort Salonga, NY 11768 | 2015-09-16 |
| 1427349505 | Kathleen Ann Korwasky | Occupational Therapist | 18 Dick Court, Northport, NY 11768 | 2011-04-25 |
| 1043448822 | Gianna Rose Ferranti | Dentist | 19 Winkle Point Road, Northport, NY 11768 | 2009-06-30 |
| 1861658213 | Barbara Ann Hansen | Registered Nurse | 78 Eatons Neck Rd, Northport, NY 11768 | 2008-08-05 |
| 1902060148 | Dana Ruth Cohen | Psychiatry & Neurology | 79 Middleville Road, Bldg 64, Northport Vamc, Northport, NY 11768 | 2008-07-16 |
| Find all providers in zip 11768 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548806540 | Hailey Hammond | Nurse Practitioner | 3101 26th Ave, Northport, AL 35476-5236 | 2019-11-25 |
| 1306043351 | Colleen Mary Defalco | Nurse Practitioner | Va Medical Center, Dept of Gastroenterology, 79 Middleville Road, Northport, NY 11768-2290 | 2007-07-02 |
| 1316934573 | Bruce S. Zitkus | Nurse Practitioner | Visiting Nurse Service & Hospice of Suffolk, Inc., 505 Main Street, Northport, NY 11768 | 2005-10-03 |
| 1497356174 | Cynthia Abigail Serrano-colon | Nurse Practitioner | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-11-08 |
| 1205311776 | Jenny Thomas Chemparathy | Nurse Practitioner | 79 Middleville Rd, Northport, NY 11768-2200 | 2018-09-30 |
| 1528489077 | Maria Gallo | Nurse Practitioner | 79 Middleville Rd, Northport, NY 11768-2200 | 2013-12-31 |
| 1154681104 | Sharon Diane Allen | Nurse Practitioner | 2700 Hospital Dr, Northport, AL 35476 | 2012-05-24 |
| 1104158302 | Magdalena Del Pilar Pupiales | Nurse Practitioner | 79 Middleville Rd, Northport Va Nursing Service - Building 6, Northport, NY 11768-2200 | 2010-02-12 |
| 1164690855 | Maria Therese Colandrea | Nurse Practitioner | 79 Middleville Rd, Medical Svcs - 111, Northport, NY 11768-2200 | 2008-02-14 |
| 1215015516 | Jane M Breitfeller | Nurse Practitioner | 79 Middleville Rd, Northport, NY 11768-2200 | 2006-11-02 |
| Find all providers in NORTHPORT | ||||
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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.