AGNES M MCCONLOGUE (NPI# 1265570121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265570121 |
| Entity Type | Individual |
| Full Name | AGNES M MCCONLOGUE |
| Credential | MAPT |
| Practice Address |
252 Islip Ave Islip NY 11751-3015 |
| Mailing Address |
2 Huyler Ct Setauket NY 11733-1308 |
| Practice Telephone | 6315816800 |
| Practice Fax Number | 6315816814 |
| Mailing Telephone | 6317517968 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 013987 | NY | Other Service Providers |
| Street Address |
252 ISLIP AVE |
| City | ISLIP |
| State | NY |
| Zip Code | 11751-3015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366596579 | Kids In Action of L.i. Inc. | Specialist | 252 Islip Ave, Islip, NY 11751-3015 | 2007-01-23 |
| 1366089476 | Marisa Bonventre | Occupational Therapist | 252 Islip Ave, Islip, NY 11751-3015 | 2019-12-09 |
| 1699335471 | Tara Banfield | Speech-Language Pathologist | 252 Islip Ave, Islip, NY 11751-3015 | 2019-06-14 |
| 1992270235 | Bridget Christie | Occupational Therapist | 252 Islip Ave, Islip, NY 11751-3015 | 2018-10-12 |
| 1285140962 | Shannon Richele Garofola | Speech-Language Pathologist | 252 Islip Ave, Islip, NY 11751-3029 | 2017-12-18 |
| 1508370354 | Kaitlin Robin Murtaugh | Speech-Language Pathologist | 252 Islip Ave, Islip, NY 11751-3029 | 2017-11-30 |
| 1104345057 | Lisa Ann Griffiths | Specialist | 252 Islip Ave, Islip, NY 11751-3029 | 2017-09-12 |
| 1417485533 | Kailey E Rommel-baker | Speech-Language Pathologist | 252 Islip Ave, Islip, NY 11751-3029 | 2017-06-02 |
| 1558810184 | Jaclyn Melnick | Physical Therapist | 252 Islip Ave, Islip, NY 11751-3029 | 2016-09-23 |
| 1427506104 | Tara Colletti | Early Intervention Provider Agency | 252 Islip Ave, Islip, NY 11751-3029 | 2016-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326528423 | Lindasy Abrams | Clinic/Center | 501 Moffitt Blvd, Islip, NY 11751 | 2018-08-17 |
| 1487149720 | Michael James Rivezzo | Occupational Therapist | 148 Monell Ave, Islip, NY 11751 | 2018-06-28 |
| 1114437894 | Raluchukwu Okonkwo Inc. | Clinic/Center | 59 38th Street, Islip, NY 11751 | 2017-10-06 |
| 1407228844 | Eileen Marie Hannon | Nurse Practitioner | 39 Iron Wood Street, Islip, NY 11751 | 2015-10-26 |
| 1427439132 | Sean Lynch | Podiatrist | 2330 Union Boulevard, Union Medical Plaza, Islip, NY 11751 | 2015-06-18 |
| 1700130002 | Elizabeth C Smith | Speech-Language Pathologist | 355 Cedar Avenue, Islip, NY 11751 | 2012-11-08 |
| 1760792592 | Commack Speech and Language | Early Intervention Provider Agency | 4 Suellen Court, Islip, NY 11751 | 2010-10-14 |
| 1861623472 | Adrian Carlo Lombardi | Family Medicine | 215 Islip Ave Ste 2, Islip, NY 11751 | 2009-07-30 |
| 1154566875 | Pamela J Torres | Social Worker | 2455 Union Blvd Apt, 3a, Islip, NY 11751 | 2008-12-09 |
| 1992978654 | Gloria S Escobar | Family Medicine | 148 Islip Avenue, Suite 27, Islip, NY 11751 | 2008-04-02 |
| Find all providers in zip 11751 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639569544 | Diana Marie Greenspan | Specialist | 99 Juniper St, Islip, NY 11751-1225 | 2015-01-30 |
| 1427456391 | Kelly J Matthews | Specialist | 41 Richmond St, Islip, NY 11751-2037 | 2014-12-09 |
| 1811397706 | Kara Marie Meister | Specialist | 25 Freeman Ave, Islip, NY 11751-2105 | 2014-08-27 |
| 1477981439 | Nicole Lanser | Specialist | 96 Finch Ln, 1a, Islip, NY 11751-3331 | 2013-10-29 |
| 1588904916 | Alexis Joan Ollendorf | Specialist | 1698 Spur Dr S, Islip, NY 11751-1215 | 2013-02-21 |
| 1992055370 | Hope Marie Keeney-bowe | Specialist | 340 Ferndale Blvd, Islip, NY 11751-1920 | 2012-09-13 |
| 1952656522 | Kristy Marie Matchett Evans | Specialist | 2649 Union Blvd, Islip, NY 11751-3218 | 2012-07-19 |
| 1649531443 | Tracie Jean Werner | Specialist | 17 W Cedar St, Islip, NY 11751-1801 | 2012-06-07 |
| 1285775577 | Tracey Maria Boriel | Specialist | 5 Juniper St, Islip, NY 11751-1210 | 2007-02-09 |
| 1366596579 | Kids In Action of L.i. Inc. | Specialist | 252 Islip Ave, Islip, NY 11751-3015 | 2007-01-23 |
| Find all providers in ISLIP | ||||
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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.