ELIZABETH DENISOVA


Address: 1000 Montauk Hwy, West Islip, NY 11795-4927
Phone: 9164078173

ELIZABETH DENISOVA (NPI# 1205456191) 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) 1205456191
Entity Type Individual
Full Name ELIZABETH DENISOVA
Practice Address 1000 Montauk Hwy
West Islip
NY 11795-4927
Practice Telephone 9164078173
Practice Fax Number 6313763420
Mailing Telephone 9164078173
Mailing Fax Number 6313763420
Enumeration Date 2020-04-20
Last Update Date 2020-04-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1000 MONTAUK HWY
City WEST ISLIP
State NY
Zip Code 11795-4927

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144225350 Gabriel T Leonte Internal Medicine 1000 Montauk Hwy, West Islip, NY 11795-4927 2005-06-15
1316552342 Britney A Lynch Nurse Practitioner 1000 Montauk Hwy, West Islip, NY 11795-4927 2020-09-15
1891300067 Liam C Riddle Genetic Counselor, MS 1000 Montauk Hwy, West Islip, NY 11795-4927 2020-09-14
1811509144 Manuela Restrepo Nurse Practitioner 1000 Montauk Hwy, West Islip, NY 11795-4927 2020-08-18
1518577196 Christina Emily Rustscheff Student in an Organized Health Care Education/Training Program 1000 Montauk Hwy, West Islip, NY 11795-4927 2020-08-07
1063037869 Michele Ahlers Nurse Practitioner 1000 Montauk Hwy, West Islip, NY 11795-4927 2020-06-08
1275154866 Anh Thi Nguyen Student in an Organized Health Care Education/Training Program 1000 Montauk Hwy, West Islip, NY 11795-4927 2020-05-05
1649891565 Lauren Tassone Student in an Organized Health Care Education/Training Program 1000 Montauk Hwy, West Islip, NY 11795-4927 2020-05-01
1306467592 Allison Jane Regan Nurse Practitioner 1000 Montauk Hwy, West Islip, NY 11795-4927 2020-04-29
1518587476 Christina Mary Johnson Driver 1000 Montauk Hwy, West Islip, NY 11795-4927 2020-04-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639790843 Aparna Kaleeckal Rajalakshmi Student in an Organized Health Care Education/Training Program 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 2020-04-28
1164087375 South Shore Medical Services Pllc Physician Assistant 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 2019-05-02
1841656030 Asnis Dental Pllc Dentist 440 Montauk Highway, West Islip, NY 11795 2016-01-05
1376913731 Erik Walter Physician Assistant 434 Union Blvd, West Islip, NY 11795 2015-09-29
1902202302 Cathleen Degarmo Specialist 524 Everdell Ave, West Islip, NY 11795 2014-11-12
1902201098 Caitlin Henderson Nurse Practitioner 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 2014-10-31
1497182752 Alyssa C Cervini Social Worker 145 Higbie Ln, West Islip, NY 11795 2013-10-02
1174966485 John George Egner Specialist 1 Kennedylane, W Islip, NY 11795 2013-04-17
1902155369 Timothy George M.d., P.C. Pediatrics 239 Higbie Lane, West Islip, NY 11795 2012-08-31
1124387824 Dawn Marie Coughlin Speech-Language Pathologist 50 Cedar Point Drive, West Islip, NY 11795 2012-05-15
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639790843 Aparna Kaleeckal Rajalakshmi Student in an Organized Health Care Education/Training Program 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 2020-04-28
1003474834 Joseph E Mirro Student in an Organized Health Care Education/Training Program 518 Hunter Ave, West Islip, NY 11795-1641 2019-06-05
1225545411 Justin Adam Bruckner Student in an Organized Health Care Education/Training Program 777 Pine Ave, West Islip, NY 11795-2707 2018-01-09
1043751183 Chidoziri Nwokoro Student in an Organized Health Care Education/Training Program 247 W 1st St, West Islip, NY 11795-2409 2017-03-08
1518577196 Christina Emily Rustscheff Student in an Organized Health Care Education/Training Program 1000 Montauk Hwy, West Islip, NY 11795-4927 2020-08-07
1275154866 Anh Thi Nguyen Student in an Organized Health Care Education/Training Program 1000 Montauk Hwy, West Islip, NY 11795-4927 2020-05-05
1649891565 Lauren Tassone Student in an Organized Health Care Education/Training Program 1000 Montauk Hwy, West Islip, NY 11795-4927 2020-05-01
1821618927 Adam Mei Student in an Organized Health Care Education/Training Program 1000 Montauk Hwy, West Islip, NY 11795-4927 2020-04-20
1215557384 Hetal Patel Student in an Organized Health Care Education/Training Program 1000 Montauk Hwy, West Islip, NY 11795-4927 2020-04-19
1518587682 Preetha Phillips Student in an Organized Health Care Education/Training Program 1000 Montauk Hwy, West Islip, NY 11795-4927 2020-04-19
Find all providers in WEST ISLIP

Competitor

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City WEST ISLIP
Zip Code 11795

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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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