EVAN RAFFERTY (NPI# 1174951925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174951925 |
| Entity Type | Individual |
| Full Name | EVAN RAFFERTY |
| Practice Address |
13 Thompson Hay Path Setauket NY 11733-1317 |
| Mailing Address |
1394 Ackerson Blvd Bay Shore NY 11706-3848 |
| Practice Telephone | 6317510197 |
| Mailing Telephone | 6313986920 |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2013-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
13 THOMPSON HAY PATH |
| City | SETAUKET |
| State | NY |
| Zip Code | 11733-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992015382 | Christine Boccio | Counselor | 13 Thompson Hay Path, Setauket, NY 11733-1317 | 2010-10-19 |
| 1134640774 | Natashia Marie Crump | Social Worker | 13 Thompson Hay Path, Setauket, NY 11733-1317 | 2017-07-05 |
| 1639547334 | Ethel Sawoe-richardson | Counselor | 13 Thompson Hay Path, Setauket, NY 11733-1317 | 2015-09-11 |
| 1245608801 | Robert Danielson | Student in an Organized Health Care Education/Training Program | 13 Thompson Hay Path, Setauket, NY 11733-1317 | 2015-09-11 |
| 1275912362 | Courtney Vanessa Beers | Registered Nurse | 13 Thompson Hay Path, Setauket, NY 11733-1317 | 2015-05-22 |
| 1407256928 | Victoria Khan | Student in an Organized Health Care Education/Training Program | 13 Thompson Hay Path, Setauket, NY 11733-1317 | 2014-09-03 |
| 1104242098 | Amanda Connelly | Counselor | 13 Thompson Hay Path, Setauket, NY 11733-1317 | 2014-03-15 |
| 1154744076 | Jessie Gould | Counselor | 13 Thompson Hay Path, Setauket, NY 11733-1317 | 2014-01-28 |
| 1417385287 | Charles Mauceri | Social Worker | 13 Thompson Hay Path, Setauket, NY 11733-1317 | 2013-10-14 |
| 1154759900 | Deborah Ann Furman | Counselor | 13 Thompson Hay Path, Setauket, NY 11733-1317 | 2013-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194639 | Jackson Hoppey | Counselor | 17 Huyler Ct, Setauket, NY 11733-1307 | 2020-11-06 |
| 1447879622 | Alice Miriam Marjorie Woodson White, Lcsw, P.C. | Counselor | 290 Main St Ste 5a, Setauket, NY 11733-2871 | 2020-04-08 |
| 1992015382 | Christine Boccio | Counselor | 13 Thompson Hay Path, Setauket, NY 11733-1317 | 2010-10-19 |
| 1043522071 | Julie Ann Woodley | Counselor | 13 Ingrid Rd, Setauket, NY 11733-2217 | 2010-07-07 |
| 1891710117 | Bernice Kornfield-premisler | Counselor | 3 Tallmadge Gate, Setauket, NY 11733-1417 | 2006-07-13 |
| 1508401167 | Jennifer Kay | Counselor | 348 Main St, Setauket, NY 11733-3842 | 2019-11-07 |
| 1831560879 | Christine Szaraz | Counselor | 348 Main St, Setauket, NY 11733-3800 | 2015-10-16 |
| 1639547334 | Ethel Sawoe-richardson | Counselor | 13 Thompson Hay Path, Setauket, NY 11733-1317 | 2015-09-11 |
| 1417337627 | Nicole Borzelleca | Counselor | 28 Jones St, Suite 203, Setauket, NY 11733-2941 | 2015-06-03 |
| 1700286366 | Nicole J Piervencenti | Counselor | 348 Main St, Setauket, NY 11733-3800 | 2014-09-01 |
| Find all providers in SETAUKET | ||||
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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.