DR. ANNETTE F RACANIELLO (NPI# 1134116387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134116387 |
| Entity Type | Individual |
| Full Name | DR. ANNETTE F RACANIELLO |
| Credential | DO |
| Practice Address |
1 Andiron Ln Brookhaven NY 11719-0078 |
| Mailing Address |
Po Box 78 Brookhaven NY 11719-0078 |
| Practice Telephone | 6312862355 |
| Practice Fax Number | 6312866808 |
| Mailing Telephone | 6312862355 |
| Mailing Fax Number | 6312866808 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2012-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 157578 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01153048 | 05 |
| Street Address |
1 ANDIRON LN |
| City | BROOKHAVEN |
| State | NY |
| Zip Code | 11719-0078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700020260 | Annette Racaniello D O P C | Family Medicine | 1 Andiron Ln, Brookhaven, NY 11719-9534 | 2009-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265717078 | Crista Lyn Pervelis | Social Worker | 101 Fireplace Neck Road, Brookhaven, NY 11719 | 2011-10-13 |
| 1609179324 | Terry Chirayil | Dentist | 990 Crooked Hill Rd, West Brentwood, NY 11719 | 2010-12-20 |
| 1679648604 | Federation of Organizations for The Ny State Mentally Disabled Inc | Case Management | 111 Beaver Dam Road, Brookhaven, NY 11719 | 2006-11-22 |
| 1528398914 | Bellhaven Management LLC | Skilled Nursing Facility | 110 Beaver Dam Rd, Brookhaven, NY 11719 | 2010-01-06 |
| 1225408149 | Rachel Tirelli | Social Worker | 16 Beaverbrook Dr, Brookhaven, NY 11719-9404 | 2015-10-05 |
| 1558926816 | Vanessa Vaughan | Licensed Practical Nurse | 414 S Country Rd, Brookhaven, NY 11719-9405 | 2019-05-02 |
| 1649828179 | Brookhaven Ambulance Co., Inc. | Ambulance | 32 Seeley St., Brookhaven, NY 11719-9408 | 2019-08-28 |
| 1275803736 | Alicia Mary Anderson | Registered Nurse | 7 Carman Blvd, Brookhaven, NY 11719-9428 | 2011-12-30 |
| 1053786897 | Ramsammy Medical PC | Clinic/Center | 8 Jareds Path, Brookhaven, NY 11719-9437 | 2015-12-04 |
| 1124358122 | Sharon Fullwood-louis | Registered Nurse | 11 Chestnut St, Brookhaven, NY 11719-9441 | 2010-01-13 |
| Find all providers in zip 11719 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437702602 | Mary Margaret Burch | Family Medicine | 1401 Dresden Dr Ne Ste 200, Brookhaven, GA 30319-3579 | 2019-07-17 |
| 1922579192 | United Physician Group LLC | Family Medicine | 13 Corporate Blvd Ne Ste 100, Brookhaven, GA 30329-1905 | 2018-12-16 |
| 1891083135 | Southern Primary Care Pllc | Family Medicine | 511 Brookman Dr, Brookhaven, MS 39601-2326 | 2011-07-20 |
| 1710113568 | Casey Jane Henritz | Family Medicine | 705 Town Blvd Ne, Suite 590, Brookhaven, GA 30319-3011 | 2009-06-08 |
| 1013093244 | Jeffrey Keith Rosen | Family Medicine | 100 East Brookhaven Rd, Brookhaven, PA 19015 | 2006-10-31 |
| 1225133978 | Kyle Scott Bateman | Family Medicine | 215 Hwy 51 South, Brookhaven, MS 39601-3245 | 2006-09-14 |
| 1487761854 | Bernard George Boka | Family Medicine | 1014 D A Biglane Dr, Brookhaven, MS 39601-2331 | 2006-08-23 |
| 1518925684 | Robert F. Crowell | Family Medicine | 4000 Edgmont Ave, Brookhaven, PA 19015-2211 | 2006-05-01 |
| 1588298301 | Total Family Care, LLC | Family Medicine | 201 Highway 51 N Ste A, Brookhaven, MS 39601-2653 | 2020-03-02 |
| 1457821373 | Shena Ogletree | Family Medicine | 1244 Park Vista Dr Ne, Brookhaven, GA 30319-5372 | 2018-12-04 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 11719 |
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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.