DR. VLAD KONONCHUK (NPI# 1164631800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164631800 |
| Entity Type | Individual |
| Full Name | DR. VLAD KONONCHUK |
| Credential | M.D. |
| Practice Address |
75-59 263rd St Glen Oaks NY 11004 |
| Mailing Address |
75-59 263rd Street Glen Oaks NY 11004 |
| Practice Telephone | 7184704834 |
| Mailing Telephone | 7184704834 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2010-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
246523 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
75-59 263RD ST |
| City | GLEN OAKS |
| State | NY |
| Zip Code | 11004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699776427 | Michael Kahan | Psychiatry & Neurology | 75-59 263rd St, Zucker Hillside Hospital Adult Outpatient Clinic, Glen Oaks, NY 11004 | 2005-08-02 |
| 1457746760 | Matthew Mcclure | Student in an Organized Health Care Education/Training Program | 75-59 263rd St, Glen Oaks, NY 11004-1150 | 2015-04-02 |
| 1295128056 | Sarah Reinstein | Psychiatry & Neurology | 75-59 263rd St, Glen Oaks, NY 11004-1150 | 2015-03-17 |
| 1558534214 | Naina Chhotalal | Social Worker | 75-59 263rd St, Glen Oaks, NY 11004 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356829980 | Evelyne Philippe | Counselor | 72-37 Little Neck Parkway, Glen Oaks, NY 11004 | 2018-08-06 |
| 1407333032 | Laura Restrepo | Registered Nurse | 256-11 Union Turnpike, Glen Oaks, NY 11004 | 2018-07-26 |
| 1477045920 | Linda Dorothy Babbino | Early Intervention Provider Agency | 260-44 75th Ave, Glen Oaks, NY 11004 | 2018-05-31 |
| 1356838544 | Carol Harbajan | Social Worker | 81-04 256th Street, Glen Oaks, NY 11004 | 2018-04-13 |
| 1699285759 | Wendy P Fuller | Psychologist | 75-79 263rd St, Glen Oaks, NY 11004 | 2017-10-03 |
| 1316311608 | Glen Oak Medical Care Pllc | Internal Medicine | 262-05 Hillside Ave, Glen Oaks, NY 11004 | 2015-11-24 |
| 1679952246 | Yardana S Kaufman | Student in an Organized Health Care Education/Training Program | Zucker Hillside Hospital, 75-59 263rd Street, Glen Oaks, NY 11004 | 2015-05-28 |
| 1851783401 | Shamshad Fatima Sial | Physician Assistant | 267-01 Hillside Avenue, Quality Medical Provider PC, Floral Park, NY 11004 | 2015-02-19 |
| 1710304944 | Straight Smiles Orthodontics Pllc | Dentist | 259-19 Hillside Avenue, Floral Park, NY 11004 | 2014-03-26 |
| 1316381437 | Preetha A Kuruvilla Dds PC | Dentist | 260-12 Hillside Ave, Floral Park, NY 11004 | 2013-04-19 |
| Find all providers in zip 11004 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003201567 | Jennifer Rahman | Psychiatry & Neurology | 75-59 263rd Street, Room K219, Glen Oaks, NY 11004 | 2015-04-01 |
| 1952648305 | Dara Victoria Fernandez Duran | Psychiatry & Neurology | 75-59 263rd Street, Zucker Hillside Hospital, Glen Oaks, NY 11004 | 2013-01-04 |
| 1417240185 | Howard Carl Levin | Psychiatry & Neurology | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2011-05-27 |
| 1053604694 | Shervin Shadianloo | Psychiatry & Neurology | 7559 263rd St, The Zucker Hillside Hospital Acp Building, Glen Oaks, NY 11004-1150 | 2011-05-16 |
| 1396973889 | Jennifer Cabrera | Psychiatry & Neurology | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2009-06-23 |
| 1336385376 | Michael Brandon Grody | Psychiatry & Neurology | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2008-12-22 |
| 1942470398 | Simran Singh Bagga | Psychiatry & Neurology | 7559 263rd St, Zucker Hillside Hospital, Acp Building, Glen Oaks, NY 11004-1150 | 2008-02-29 |
| 1700082724 | Sol Lee | Psychiatry & Neurology | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2007-06-26 |
| 1134330327 | Claudine Higdon | Psychiatry & Neurology | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2007-05-27 |
| 1699989145 | Stephen Michael Perret | Psychiatry & Neurology | 7559 263rd St, Child Psychiatry Ambulatory Care Building, Glen Oaks, NY 11004-1150 | 2007-05-10 |
| Find all providers in GLEN OAKS | ||||
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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.