GWENDOLYN MEDAK (NPI# 1245883461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245883461 |
| Entity Type | Individual |
| Full Name | GWENDOLYN MEDAK |
| Credential | RN |
| Practice Address |
15 New Scotland Ave Albany NY 12208 |
| Mailing Address |
75 New Scotland Ave Unit L Albany NY 12208 |
| Practice Telephone | 5185496002 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
675356-1 | NY | Nursing Service Providers |
| Street Address |
15 NEW SCOTLAND AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1518529577 | Lea Dikranian | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Pediatrics, Albany, NY 12208 | 2019-06-30 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745351 | Pamela Marie Dolacky | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3474 | 2020-03-18 |
| 1972134476 | Mary Pamberi | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3409 | 2020-02-03 |
| 1801437355 | Brian Paul Cahill | Registered Nurse | 175 Green St, Albany, NY 12202-2011 | 2019-10-07 |
| 1891347712 | Monique Stewart | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-07-11 |
| 1316599384 | Tella Stanfield | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-07-10 |
| 1033761002 | Linda Wilcox | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-07-10 |
| 1093367070 | Jainamma Luckose | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-07-10 |
| 1770145906 | Doreen Ann Andreini | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-07-09 |
| 1669033932 | Paula Beaudoin | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-06-26 |
| 1942764659 | Jennifer Cote | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3474 | 2019-01-27 |
| Find all providers in ALBANY | ||||
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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.