NIDS COALITION NORTHERN CHAPTER (NPI# 1114178001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114178001 |
| Entity Type | Organization |
| Organization Name | NIDS COALITION NORTHERN CHAPTER |
| Practice Address |
103 S Main St Black River NY 13612-2101 |
| Practice Telephone | 3157735405 |
| Practice Fax Number | 3157735378 |
| Mailing Telephone | 3157735405 |
| Mailing Fax Number | 3157735378 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |
| Authorized Official Name | MRS. KATHERINE ROBERTSON (DIRECTOR) |
| Authorized Official Telephone | 3157735405 |
| Authorized Official Credential | RN,C,MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
103 S MAIN ST |
| City | BLACK RIVER |
| State | NY |
| Zip Code | 13612-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861041592 | Mary Cecilia Therese Runge | Speech-Language Pathologist | 28819 Nys Rt. 342, Black River, NY 13612 | 2019-09-05 |
| 1215258967 | Wendy L Eddy | Counselor | 21534 Staplin Road, Black Rivewr, NY 13612 | 2010-06-17 |
| 1861619066 | Daniel George Greene | Counselor | 21544 Miser Road, Black River, NY 13612 | 2007-04-19 |
| 1235338799 | Robert Paul Edgar | Licensed Practical Nurse | 30204 State Route 3, Black River, NY 13612-2091 | 2007-07-15 |
| 1790968469 | Tammy Kelsey Perez | Occupational Therapist | 30081 Nys Rte 3, Black River, NY 13612-2093 | 2007-12-17 |
| 1801445986 | Jessica Dawn Whitmore | Social Worker | 121 N Main St, Black River, NY 13612-2109 | 2019-09-10 |
| 1144219197 | Hans Werner Wawrousek Jr. | Dentist | 122 Pine Dr, Black River, NY 13612-2110 | 2005-10-20 |
| 1710289244 | Elizabeth Leigh Elmer | Speech-Language Pathologist | 160 Leray St, Black River, NY 13612-2114 | 2010-12-05 |
| 1972793602 | Black River Ambulance Squad, Inc | Ambulance | 121 Leray St, Black River, NY 13612-2114 | 2007-07-30 |
| 1295906410 | Samantha Ann Schirmer | Licensed Practical Nurse | 27882 State Route 342 Lot 217, Black River, NY 13612-2123 | 2008-03-14 |
| Find all providers in zip 13612 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420472 | Theodean Smith-lawrence | General Practice | 7 Smoke Rise Ln, Wappingers Falls, NY 12590-1220 | 2020-09-03 |
| 1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
| 1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
| 1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
| City | BLACK RIVER |
| Zip Code | 13612 |
Please comment or provide details below to improve the information on NIDS COALITION NORTHERN CHAPTER.
| 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.