DR. MORAD AWADALLAH (NPI# 1265760565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265760565 |
| Entity Type | Individual |
| Full Name | DR. MORAD AWADALLAH |
| Credential | MD |
| Practice Address |
2 Prospect Ave Brentwood NY 11717-2405 |
| Practice Telephone | 6312732210 |
| Mailing Telephone | 6312732210 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2 PROSPECT AVE |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104440890 | Blair Solomon | Student in an Organized Health Care Education/Training Program | 9212 Prestmoor Pl, Brentwood, TN 37027-7491 | 2020-05-29 |
| 1386264620 | Phlyn Minnis | Student in an Organized Health Care Education/Training Program | 141 Plum Nelly Cir Apt 201, Brentwood, TN 37027-4626 | 2020-04-16 |
| 1134769920 | Roland Johnathan Ramkissoon | Student in an Organized Health Care Education/Training Program | 39 Orient Ave, Brentwood, NY 11717-1626 | 2020-01-09 |
| 1154806008 | Brooke Bell | Student in an Organized Health Care Education/Training Program | 1780 Anastasia Drive, Brentwood, CA 94513 | 2018-09-26 |
| 1164919767 | Billal Jamili | Student in an Organized Health Care Education/Training Program | 1389 Compaglia Cir, Brentwood, CA 94513-2995 | 2018-04-18 |
| 1861997140 | Mohammed Hassan | Student in an Organized Health Care Education/Training Program | 49 Nostrand Ave, Brentwood, NY 11717-1171 | 2018-03-28 |
| 1790211217 | Yasmin Lopez | Student in an Organized Health Care Education/Training Program | 77 Walter St, Brentwood, NY 11717-1110 | 2017-05-03 |
| 1467908681 | Abid Niazi | Student in an Organized Health Care Education/Training Program | 2108 Cristina Way, Brentwood, CA 94513 | 2016-08-28 |
| 1003108010 | Ryan Fauvre Holmes | Student in an Organized Health Care Education/Training Program | 1443 Oriole Pl, Brentwood, MO 63144-1126 | 2011-05-09 |
| 1528617479 | Michelle Chavis | Student in an Organized Health Care Education/Training Program | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-09-04 |
| Find all providers in BRENTWOOD | ||||
Please comment or provide details below to improve the information on DR. MORAD AWADALLAH.
| 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.