AMANDA KATHERINE LOISELLE


Address: 79 Mcgaw Ave, Lake Grove, NY 11755-2024
Phone: 6316560820

AMANDA KATHERINE LOISELLE (NPI# 1154657021) 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) 1154657021
Entity Type Individual
Full Name AMANDA KATHERINE LOISELLE
Credential RN
Practice Address 79 Mcgaw Ave
Lake Grove
NY 11755-2024
Practice Telephone 6316560820
Mailing Telephone 6316560820
Enumeration Date 2009-10-27
Last Update Date 2009-10-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0200X Registered Nurse
Specialization: Pediatrics
22576519 NY Nursing Service Providers

Office Location

Street Address 79 MCGAW AVE
City LAKE GROVE
State NY
Zip Code 11755-2024

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699157586 Roger Lee Kilfoil Podiatrist 20 Lindell Ave, Lake Grove, NY 11755 2015-06-26
1780070102 Rebecca Au Occupational Therapist 43 Tulip Grove Drive, Lake Grove, NY 11755 2015-04-13
1154730943 Nancy Allegretti Counselor 7 Oak Street, Lake Grove, NY 11755 2014-08-06
1548525074 Dawnmarie Garrett Case Manager/Care Coordinator 62 Birch Street, Lake Grove, NY 11755 2012-07-11
1669775193 Sonia Cristina Alonso Obregon Speech-Language Pathologist 6 Williams Blvd, Apto 1e, Lake Grove, NY 11755 2010-12-05
1932413135 Melissa Ann Crimi Registered Nurse 2233 Nesconset Hwy Ste 207, Lake Grove, NY 11755 2010-07-29
1689991788 Ny Theraapy Placemeny, Inc General Acute Care Hospital 162 Symphony Dr, Lake Grove, NY 11755 2010-04-28
1578886594 Viviana Henrielte Florea Nurse Practitioner 3 Tower Street, First Floor, Lake Grove, NY 11755 2010-03-04
1194965897 Susan Mary Byrne Nurse Practitioner 2780 Middle Country Road Suite 306, The Child and Family Wellness Center, Lake Grove, NY 11755 2009-02-20
1649449158 Brian K. Berliner, O.d., P.C. Optometrist 64 Dsw Plaza, Lake Grove, NY 11755 2008-02-28
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Taxonomy Information

Taxonomy Code 163WP0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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1881209252 Emily Francesca Registered Nurse 80 Corona Rd, Rochester, NY 14615-2643 2020-09-12
1033727649 Samantha Ashley Hedges Registered Nurse 3 Mountain Ln Apt 3c, Rochester, NY 14625-2502 2020-07-20
1053932921 Jennifer Thomas Registered Nurse 1835 Baird Rd, Penfield, NY 14526-1045 2020-05-02
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Competitor

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City LAKE GROVE
Zip Code 11755

Improve Information

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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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