GABRIELLE TAKINA ROCHA DE ASSIS


Address: 291 Main Street, Middleburgh, NY 12122
Phone: 5188273625

GABRIELLE TAKINA ROCHA DE ASSIS (NPI# 1114579737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114579737
Entity Type Individual
Full Name GABRIELLE TAKINA ROCHA DE ASSIS
Credential CPNP-PC
Practice Address 291 Main Street
Middleburgh
NY 12122
Mailing Address 451 Woodland Dr
Olivebridge
NY 12461-5719
Practice Telephone 5188273625
Mailing Telephone 8455146929
Enumeration Date 2019-07-13
Last Update Date 2019-12-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
383025 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 291 MAIN STREET
City MIDDLEBURGH
State NY
Zip Code 12122

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659882298 Middleburgh Pharmacy Inc Durable Medical Equipment & Medical Supplies 119 Market Street, Middleburgh, NY 12122 2017-10-23
1063931467 Aida Melendez Licensed Practical Nurse 1564 Clauverwie Road, Middleburgh, NY 12122 2017-09-17
1356421309 Peter H Bennett Family Medicine 109 Baker Avenue, Middleburgh, NY 12122 2006-10-16
1902913437 Lisa M Donnini Pharmacist 4448 State Highway 30, Middleburgh, NY 12122 2006-08-23
1578552337 Melissa J Becker-kaplanowski Nurse Practitioner 270 Main Street, Middleburgh, NY 12122 2005-10-14
1326032269 Aaron I Harrison Family Medicine 109 Baker Ave, Bassett Healthcare Network, Middleburgh, NY 12122 2005-09-07
1770991226 Mourad Drug Corp Pharmacy 312 Main Street, Middleburgh, NY 12122 2014-07-29
1477820710 Joanne P Coonradt Physical Therapist 245 Main Street, Middleburgh, NY 12122 2011-11-30
1821365164 Shari Ann Sauter Speech-Language Pathologist 245 Main Street, Middleburgh, NY 12122 2011-11-30
1780951020 Rebecca L. Quinn Occupational Therapist 245 Main Street, Middleburgh, NY 12122 2011-11-30
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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Competitor

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City MIDDLEBURGH
Zip Code 12122

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Dataset Information

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.

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