WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP (NPI# 1235533993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235533993 |
| Entity Type | Organization |
| Organization Name | WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP |
| Other Organization Name | WINTHROP CHILD NEUROLOGY ASSOCIATES |
| Practice Address |
173 Mineola Blvd Suite 101 Mineola NY 11501-2528 |
| Mailing Address |
700 Hicksville Rd Suite 204 Bethpage NY 11714-3471 |
| Practice Telephone | 5166639494 |
| Practice Fax Number | 5166632835 |
| Mailing Telephone | 5165765715 |
| Mailing Fax Number | 5165765801 |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |
| Authorized Official Name | MICHAEL D AMMAZZALORSO (CO-PRESIDENT) |
| Authorized Official Telephone | 5166638209 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Winthrop Child Neurology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780043570 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Pathology | 222 Station Plz N, Suite 606, Mineola, NY 11501-3800 | 2016-02-22 |
| 1366801409 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Urology | 1300 Franklin Ave, Suite Ml-6, Garden City, NY 11530-1886 | 2016-02-17 |
| 1477911436 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Internal Medicine | 200 Old Country Rd, Suite 450, Mineola, NY 11501-4235 | 2016-02-05 |
| 1174907547 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Hospitalist | 259 1st St, Mineola, NY 11501-3957 | 2015-07-16 |
| 1093199564 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Allergy & Immunology | 120 Mineola Blvd, Suite 410, Mineola, NY 11501-4064 | 2015-07-15 |
| 1245637297 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Internal Medicine | 120 Mineola Blvd, Suite 500, Mineola, NY 11501-4064 | 2014-11-19 |
| 1962808907 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Internal Medicine | 222 Station Plz N, Suite 518, Mineola, NY 11501-3800 | 2014-11-18 |
| 1639572589 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Obstetrics & Gynecology | 120 Mineola Blvd, Suite 100, Mineola, NY 11501-4064 | 2014-10-07 |
| Street Address |
173 MINEOLA BLVD SUITE 101 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851082 | John A Lanzone | Specialist | 173 Mineola Blvd, Ste 406, Mineola, NY 11501-2555 | 2005-06-20 |
| 1851824544 | Country Foot Care Podiatry | Podiatrist | 173 Mineola Blvd, Suite 201, Mineola, NY 11501-2528 | 2017-04-10 |
| 1053776096 | Country Foot Care Podiatry Pllc | Podiatrist | 173 Mineola Blvd, Suite 201, Mineola, NY 11501-2528 | 2015-12-17 |
| 1548647803 | Michael Scoma Medical PC | Internal Medicine | 173 Mineola Blvd, Suite 401a, Mineola, NY 11501-2555 | 2015-05-06 |
| 1982007654 | Scoma Medical Group Pllc | Internal Medicine | 173 Mineola Blvd, Suite 401a, Mineola, NY 11501-2528 | 2014-10-08 |
| 1184935645 | Gabrielle Marie Chassagne | Psychiatry & Neurology | 173 Mineola Blvd, Suite 101, Mineola, NY 11501-2528 | 2010-06-29 |
| 1215167390 | Michael Robert Scoma | Internal Medicine | 173 Mineola Blvd, Suite 401a, Mineola, NY 11501-2528 | 2009-07-22 |
| 1033380563 | Frank A. Monteleone, M.d.,p.c. | General Practice | 173 Mineola Blvd, Suite 203, Mineola, NY 11501-2528 | 2008-03-12 |
| 1801077193 | Long Island Women's Health Care Group, PC | Obstetrics & Gynecology | 173 Mineola Blvd, Suite 200-202, Mineola, NY 11501-2528 | 2007-11-15 |
| 1689895328 | Tami L Lambert | Nurse Practitioner | 173 Mineola Blvd, Suite 101, Mineola, NY 11501-2528 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in zip 11501 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early 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 |
|---|---|---|---|---|
| 1184935645 | Gabrielle Marie Chassagne | Psychiatry & Neurology | 173 Mineola Blvd, Suite 101, Mineola, NY 11501-2528 | 2010-06-29 |
| 1689728107 | Winthrop Community Medical Affiliates, P.C. | Psychiatry & Neurology | 173 Mineola Blvd, Suite 101, Mineola, NY 11501-2528 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538665971 | Kristen Barbour | Psychiatry & Neurology | 505 E 70th St # 611, New York, NY 10021-4872 | 2018-04-04 |
| 1164940490 | Kashyar Khodabakhsh M.d.p.c. | Psychiatry & Neurology | 260 Middle Neck Rd Apt 1e, Great Neck, NY 11021-1159 | 2017-09-07 |
| 1629452685 | Inge Anita Meijer | Psychiatry & Neurology | 10 Union Sq E Fl 5, Suite 5k, New York, NY 10003-3314 | 2015-07-18 |
| 1457770620 | Rolla Nuoman | Psychiatry & Neurology | 755 N Broadway Ste 540, Sleepy Hollow, NY 10591 | 2014-04-15 |
| 1689093445 | Evelyn Olga Berman | Psychiatry & Neurology | 200 East River Rd, Rochester, NY 14623 | 2014-04-09 |
| 1760809719 | Danielle Brigham | Psychiatry & Neurology | 710 W 168th St Fl 7, New York, NY 10032-3726 | 2014-03-27 |
| 1861767931 | Pascal Saremsky | Psychiatry & Neurology | 2965 Long Beach Rd Ste 200, Oceanside, NY 11572-3255 | 2012-03-21 |
| 1316246978 | Leslie Diane Delfiner | Psychiatry & Neurology | 3415 Bainbridge Ave Fl 4, Bronx, NY 10467-2403 | 2011-03-22 |
| 1104132778 | Prokhorov's Pediatrics and Child Neurology PC | Psychiatry & Neurology | 9817 Queens Blvd, Ll2, Rego Park, NY 11374-3336 | 2010-08-20 |
| 1457679706 | Vijay Vishwanath | Psychiatry & Neurology | 391 Myrtle Ave Ste 1a, Albany, NY 12208-3797 | 2010-05-11 |
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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.