PATRYCJA DOROTA PUCHALA (NPI# 1134735095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134735095 |
| Entity Type | Individual |
| Full Name | PATRYCJA DOROTA PUCHALA |
| Credential | PA-C |
| Practice Address |
177 Fort Washington Ave New York NY 10032-3733 |
| Mailing Address |
1073 Manhattan Ave Apt 3r Brooklyn NY 11222-1044 |
| Practice Telephone | 2123057060 |
| Mailing Telephone | 5167546354 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
025095 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
177 FORT WASHINGTON AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961218 | Jennifer Nicole Bricker | Physician Assistant | 177 Fort Washington Ave, Milstein Building 7gn435, New York, NY 10032-3733 | 2005-06-09 |
| 1144832395 | Jennifer Dasilva | Nurse Practitioner | 177 Fort Washington Ave, New York, NY 10032-3733 | 2020-08-19 |
| 1013529205 | Danielle Nicole Casey | Physician Assistant | 177 Fort Washington Ave, New York, NY 10032-3733 | 2020-08-19 |
| 1144838640 | Christopher J Mcgee | Physician Assistant | 177 Fort Washington Ave, 8th Fl, South Knuckle, New York, NY 10032 | 2020-07-21 |
| 1326662479 | Rolyn Wayne Simmons II | Pharmacy Technician | 177 Fort Washington Ave, New York, NY 10032-3733 | 2020-06-04 |
| 1487277331 | Catherine Amanda Delisi | Social Worker | 177 Fort Washington Ave, New York, NY 10032-3733 | 2020-05-27 |
| 1629690953 | Lauren Menchini | Speech-Language Pathologist | 177 Fort Washington Ave, New York, NY 10032-3733 | 2020-05-08 |
| 1992326771 | Mitchell C Li | Nurse Practitioner | 177 Fort Washington Ave, New York, NY 10032-3733 | 2020-05-02 |
| 1104446079 | Victor Jomel Militar | Physical Therapist | 177 Fort Washington Ave, New York, NY 10032-3733 | 2020-04-21 |
| 1659991883 | Matthew Mangione | Pharmacist | 177 Fort Washington Ave, New York, NY 10032-3733 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1932737574 | Raheej Choudhary | Physician Assistant | 115 Broadway Rm 1300, New York, NY 10006-1600 | 2020-03-30 |
| 1992354534 | Herless S Sun | Physician Assistant | 506 Lenox Ave # Mlk2-105, New York, NY 10037-1802 | 2019-09-06 |
| 1134773781 | Kristin Goodkin | Physician Assistant | 170 E 108th St Apt 5, New York, NY 10029-3635 | 2019-07-31 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1366965774 | Christy Mcgorman | Physician Assistant | 100 East 77th. St., Lenox Hill Emergency Department, New York, NY 10075 | 2017-07-18 |
| 1891215562 | Steven Kahler | Physician Assistant | 67 Irving Pl Fl 5, New York, NY 10003-2255 | 2017-06-23 |
| 1255881157 | Ross Joseph Morgan IIi | Physician Assistant | 160 E 56th St Fl T12, New York, NY 10022-3609 | 2016-10-04 |
| 1659723021 | Woo Jung Kim | Physician Assistant | 131 W 35th St Ste 700, New York, NY 10001-2111 | 2016-07-08 |
| 1639538317 | Arielle Romm | Physician Assistant | 928 Broadway Ste 204, New York, NY 10010-8162 | 2016-02-23 |
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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.