PUTTACHAT P TAYLOR (NPI# 1144340159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144340159 |
| Entity Type | Individual |
| Full Name | PUTTACHAT P TAYLOR |
| Credential | NP |
| Practice Address |
611 Northern Blvd Great Neck NY 11021-5207 |
| Practice Telephone | 5165704400 |
| Practice Fax Number | 5165704444 |
| Mailing Telephone | 5165704400 |
| Mailing Fax Number | 5165704444 |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F303355 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
611 NORTHERN BLVD |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021-5207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598739989 | Thomas Michael Mauri | Orthopaedic Surgery | 611 Northern Blvd, Suite 200, Great Neck, NY 11021-5207 | 2006-02-14 |
| 1881293231 | Sini Varghese | Nurse Practitioner | 611 Northern Blvd, Great Neck, NY 11021-5207 | 2020-10-17 |
| 1629550769 | Alexandra Marie Mezzanotte | Physician Assistant | 611 Northern Blvd, Great Neck, NY 11021-5207 | 2018-09-05 |
| 1740637362 | Yael Cukier | Clinical Neuropsychologist | 611 Northern Blvd, Suite 150, Great Neck, NY 11021-5207 | 2016-05-24 |
| 1811356082 | Sheila Manzoor | Physician Assistant | 611 Northern Blvd, Suite 200, Great Neck, NY 11021-5207 | 2016-02-16 |
| 1083070320 | Richard T Miller Dmd PC | Dentist | 611 Northern Blvd, Great Neck, NY 11021-5207 | 2015-12-31 |
| 1386085082 | Tara Marie Vanderburg | Physician Assistant | 611 Northern Blvd, Suite 200, Great Neck, NY 11021-5207 | 2013-07-10 |
| 1013270230 | Sohrab Virk | General Practice | 611 Northern Blvd, Great Neck, NY 11021-5207 | 2012-06-21 |
| 1891082632 | Luca Giliberto | Psychiatry & Neurology | 611 Northern Blvd, Ste 150, North Shore-lij-cushing Neuroscience Institute, Great Neck, NY 11021-5207 | 2011-06-30 |
| 1972896629 | Lorrelei Ann Paires | Dentist | 611 Northern Blvd, Suite 100, Great Neck, NY 11021-5207 | 2011-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| Find all providers in zip 11021 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982187001 | Lauraine Kanders, Np In Adult Health, P.C. | Nurse Practitioner | 7 Somerset Dr S, Great Neck, NY 11020-1821 | 2018-09-13 |
| 1093204919 | Elissa Michelle Martin | Nurse Practitioner | 310 E Shore Rd Ste 104, Great Neck, NY 11023-2432 | 2018-05-07 |
| 1538569405 | Tatiana Portela | Nurse Practitioner | 560 Northern Blvd Ste 203, Great Neck, NY 11021-5113 | 2014-08-28 |
| 1851939193 | Jessica Ann Schillow | Nurse Practitioner | 1010 Northern Blvd, Great Neck, NY 11021-5317 | 2019-12-17 |
| 1255808796 | Stephanie Ragone | Nurse Practitioner | 891 Northern Blvd, Great Neck, NY 11021-5334 | 2018-11-01 |
| 1013461276 | Blayne Manning | Nurse Practitioner | 225 Community Dr, #110, Great Neck, NY 11021-5503 | 2016-08-05 |
| 1972968964 | Heidi Scheinin Berman | Nurse Practitioner | 9 Hillcrest Dr, Great Neck, NY 11021-1721 | 2015-12-18 |
| 1396094157 | Candice Halinski | Nurse Practitioner | 100 Community Dr, Second Floor Nephrology, Great Neck, NY 11021-5501 | 2012-09-06 |
| 1841579877 | Kristen Porreca | Nurse Practitioner | 891 Northern Blvd Ste 203, Great Neck, NY 11021-5305 | 2011-08-08 |
| 1366678476 | Andrea Sannette Adams | Nurse Practitioner | 865 Northern Boulevard, Great Neck, NY 11021 | 2009-06-03 |
| Find all providers in GREAT NECK | ||||
| City | GREAT NECK |
| Zip Code | 11021 |
Please comment or provide details below to improve the information on PUTTACHAT P TAYLOR.
| 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.