DR. LUCY KOLLOORI (NPI# 1114004272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114004272 |
Entity Type | Individual |
Full Name | DR. LUCY KOLLOORI |
Credential | M.D. |
Practice Address |
460 Brielle Ave Staten Island NY 10314-6427 |
Mailing Address |
1 Emerson Dr Staten Island NY 10304-1508 |
Practice Telephone | 7183173267 |
Mailing Telephone | 7188166520 |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
161292 | NY | Allopathic & Osteopathic Physicians |
Street Address |
460 BRIELLE AVE |
City | STATEN ISLAND |
State | NY |
Zip Code | 10314-6427 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134117500 | Volunteer Heart Resuscitation Unit and Ambulance Corps of Staten Isla | Ambulance | 460 Brielle Ave, Staten Island, NY 10306-0252 | 2005-10-11 |
1164044251 | Vincent James Onwuemene | Nurse Practitioner | 460 Brielle Ave, Staten Island, NY 10314-6427 | 2020-05-12 |
1811537657 | Evan Michael Rosen | Counselor | 460 Brielle Ave, Staten Island, NY 10314-6427 | 2020-01-09 |
1134770613 | Myron Priester | Counselor | 460 Brielle Ave, Staten Island, NY 10314-1031 | 2019-09-25 |
1548825151 | Kellie Marie Russo | Counselor | 460 Brielle Ave, Staten Island, NY 10314-6427 | 2019-05-08 |
1174084131 | Frank Robert Caruso | Counselor | 460 Brielle Ave, Staten Island, NY 10314-6427 | 2019-03-30 |
1760942163 | Troy Schaffer | Counselor | 460 Brielle Ave, Staten Island, NY 10314-6427 | 2019-03-21 |
1629547013 | Jeffrey Smith | Counselor | 460 Brielle Ave, Staten Island, NY 10314-6427 | 2018-11-15 |
1164990347 | Stacy G Pagan | Counselor | 460 Brielle Ave, Staten Island, NY 10314-6427 | 2018-11-06 |
1609300367 | Trevor Griffiths | Counselor | 460 Brielle Ave, Building H, Staten Island, NY 10314-6427 | 2017-04-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
Find all providers in zip 10314 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891047528 | C.b.neurology and Sleep Medicine Consulting P.C. | Psychiatry & Neurology | 268 Neal Dow Ave, Staten Island, NY 10314-3128 | 2012-10-04 |
1518040716 | Suying L Song | Psychiatry & Neurology | 212 Garretson Ave, Staten Island, NY 10305-1234 | 2006-10-23 |
1487613493 | Kamalini Asirwatham | Psychiatry & Neurology | 34 Academy Pl, Staten Island, NY 10301-1854 | 2006-03-20 |
1295700177 | Allan B Perel | Psychiatry & Neurology | 27 New Dorp Ln, Staten Island, NY 10306-2322 | 2006-02-22 |
1396364436 | Natarajan Elangovan Physician, P.C. | Psychiatry & Neurology | 1756 Richmond Ave, Staten Island, NY 10314-3902 | 2020-04-09 |
1255844585 | Igor Stiler, M.d., P.C. | Psychiatry & Neurology | 1931 Richmond Ave, Staten Island, NY 10314-3889 | 2017-11-08 |
1164793089 | William B. Head Jr. M.d. P.C. | Psychiatry & Neurology | 1100 Clove Rd, Staten Island, NY 10301-3648 | 2012-01-24 |
1275818668 | Sima Raguthu Md Pllc | Psychiatry & Neurology | 11 Ralph Pl, Staten Island, NY 10304-4401 | 2011-10-17 |
1790095289 | Dgs Neurological Pllc | Psychiatry & Neurology | 4982 Hylan Blvd, Staten Island, NY 10312-6399 | 2010-10-18 |
1922338334 | Steven Hsiao-liang Lin | Psychiatry & Neurology | 1099 Targee St, Staten Island, NY 10304-4310 | 2010-01-06 |
Find all providers in STATEN ISLAND |
City | STATEN ISLAND |
Zip Code | 10314 |
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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.