ST LUKE'S CORNWALL HOSPITAL (NPI# 1124118104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124118104 |
| Entity Type | Organization |
| Organization Name | ST LUKE'S CORNWALL HOSPITAL |
| Other Organization Name | BEHAVIORAL HEALTH UNIT |
| Practice Address |
19 Laurel Ave St Luke's Cornwall Hospital, Finance Dept Cornwall NY 12518-1403 |
| Practice Telephone | 8454584023 |
| Practice Fax Number | 8454584040 |
| Mailing Telephone | 8454584023 |
| Mailing Fax Number | 8454584040 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2011-09-30 |
| Authorized Official Name | JILL G BARTON (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 8454584023 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02915662 | 05 |
| Other Name | Type Code |
|---|---|
| Behavioral Health Unit | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033361340 | St Luke's Cornwall Hospital | Physician Assistant | 21 Laurel Ave Ste 240, Faculty Group Practice St Luke's Cornwall Hospital, Cornwall, NY 12518-1476 | 2008-10-17 |
| 1750533378 | St Luke's Cornwall Hospital | Hospitalist | 70 Dubois St, Hospitalist Dept, St Luke's Cornwall Hospital, Newburgh, NY 12550-4851 | 2008-10-14 |
| Street Address |
19 LAUREL AVE ST LUKE'S CORNWALL HOSPITAL, FINANCE DEPT |
| City | CORNWALL |
| State | NY |
| Zip Code | 12518-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226514 | Jonathan Price | Physical Therapist | 19 Laurel Ave, Cornwall, NY 12518-1403 | 2019-10-14 |
| 1083186449 | Maria Villanueva | Physical Therapist | 19 Laurel Ave, Cornwall, NY 12518-1403 | 2018-12-26 |
| 1770959108 | Casey Conklin | Physical Therapist | 19 Laurel Ave, Cornwall, NY 12518-1403 | 2015-08-20 |
| 1548413495 | Susan Beth Claudio | Physical Therapist | 19 Laurel Ave, Cornwall, NY 12518-1403 | 2008-10-23 |
| 1811140783 | Fei L Chang | Physical Therapist | 19 Laurel Ave, Cornwall, NY 12518-1403 | 2008-10-23 |
| 1013180942 | Hospital Emergency Licensed Physicians | Emergency Medicine | 19 Laurel Ave, Cornwall, NY 12518-1403 | 2008-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883697 | Rose Ema Francine Dubreus Pierre | Registered Nurse | 40 Firth Street, Cornwall, NY 12518 | 2020-05-23 |
| 1255847406 | Casey Marianne Undersinger | Occupational Therapist | 340 Hudson Street, Cornwall, NY 12518 | 2017-12-26 |
| 1629287107 | Clifford James Russ | Dentist | 41 Ridge Road, Cornwall, NY 12518 | 2007-05-22 |
| 1740687474 | Carolann Frances Furchi | Psychologist | 186 Main Street, Cornwall, NY 12518 | 2014-11-24 |
| 1952661274 | Kirti Joseph | Student in an Organized Health Care Education/Training Program | Hudson Vista Medical, PC, 21 Laurel Avenue, Suite 280, Cornwall, NY 12518 | 2012-05-21 |
| 1255564969 | Manita Sawhney | Internal Medicine | Hudson Vista Medical, PC, 21 Laurel Avenue, Suite 280, Cornwall, NY 12518 | 2009-08-27 |
| 1568583896 | Eastern Orange Ambulatory Surgery Center, LLC | Clinic/Center | 21 Laurel Ave, Suite 120, Cornwall, NY 12518 | 2007-04-03 |
| 1518022771 | Pelella Apothecary Inc | Pharmacy | 21 Laurel Ave, Ste 110, Cornwall, NY 12518 | 2006-12-27 |
| 1245327162 | Thomas V Robb | Surgery | 21 Laurel Ave, Suite 240, Cornwall, NY 12518 | 2006-10-10 |
| 1134233497 | Prestige Physicians Services, Pllc | Family Medicine | 164 Willow Ave, Cornwall, NY 12518 | 2006-08-17 |
| Find all providers in zip 12518 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768916 | Shari Kohn | Psychologist | 20 Shadow Ln, Woodbury, NY 11797-2222 | 2020-10-18 |
| 1770180325 | Jonathan Rosen | Psychologist | 1760 2nd Ave Apt 18a, New York, NY 10128-5392 | 2020-10-07 |
| 1245837855 | Aunree J. Houston | Psychologist | 400 W 37th St Apt 10y, New York, NY 10018-5631 | 2020-10-06 |
| 1255944377 | Mindwell Center, LLP | Psychologist | 950 Danby Rd Ste 202f, Ithaca, NY 14850-5714 | 2020-08-28 |
| 1417575754 | Donato Vaccaro | Psychologist | 40 Deerfield Ave, Eastchester, NY 10709-3805 | 2020-07-13 |
| 1902432511 | Nancy Langdon | Psychologist | 410 Fort Salonga Rd, Northport, NY 11768-3046 | 2020-03-14 |
| 1386281376 | Grand Central Psychology Pllc | Psychologist | 50 E 42nd St Rm 1807, New York, NY 10017-5402 | 2019-12-09 |
| 1730722232 | Shimon N Littman | Psychologist | 495 W 187th St Apt 5e, New York, NY 10033-1521 | 2019-10-28 |
| 1821645367 | Rd Community Services LLC | Psychologist | 1049 38th St Ste B, Brooklyn, NY 11219-1012 | 2019-08-20 |
| 1881250041 | New Perspective Psychological Services | Psychologist | 1170a Ocean Ave, Brooklyn, NY 11230-1904 | 2019-05-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ST LUKE'S CORNWALL HOSPITAL.
| 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.