KENNETH MARK GRAIG (NPI# 1275028649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275028649 |
| Entity Type | Individual |
| Full Name | KENNETH MARK GRAIG |
| Practice Address |
21 Mansion Dr Hyde Park NY 12538 |
| Mailing Address |
21 Mansion Dr Hyde Park NY 12538-1110 |
| Practice Telephone | 8452335109 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 353920 | NY | Other Service Providers |
| Y | 174400000X | Specialist | NY | Other Service Providers |
| Street Address |
21 MANSION DR |
| City | HYDE PARK |
| State | NY |
| Zip Code | 12538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932765294 | Linda Rose Eagleton | Social Worker | Ifh Family Practice Center, 11 Crum Elbow, Hyde Park, NY 12538 | 2019-05-13 |
| 1548660301 | Lorraine Little | Licensed Practical Nurse | 1174 Rte. 9g, Hyde Park, NY 12538 | 2014-08-29 |
| 1770871048 | Sai-kit Tseng | Dentist | 5 Alexander Dr # A, Hyde Park, NY 12538 | 2011-07-20 |
| 1780989251 | Marion Laluna | Social Worker | 16 Smith Court, Hyde Park, NY 12538 | 2011-01-14 |
| 1326257528 | Richard W Whalen | Dentist | 7 Pine Woods Road, Hyde Park, NY 12538 | 2007-05-22 |
| 1891907523 | Saint Franicis Hospotal | General Acute Care Hospital | 192 Roosevelt Road, Hyde Park, NY 12538 | 2007-05-04 |
| 1083743710 | Cathleen Rose Dowd | Registered Nurse | 4307 Albany Post Road, Hyde Park, NY 12538 | 2007-03-06 |
| 1184750697 | William Vincent Donohue | Psychiatry & Neurology | 4586 Route 9, Hyde Park, NY 12538 | 2007-02-26 |
| 1932253978 | Sean Lawrence Martin | Chiropractor | 1083 Violet Avenue, Hyde Park, NY 12538 | 2007-01-23 |
| 1760578322 | Margot Lynn Albeldas | Social Worker | Hudson Valley Healing Arts Center, 4232 Albany Post Road, Hyde Park, NY 12538 | 2006-10-04 |
| Find all providers in zip 12538 | ||||
| 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 |
|---|---|---|---|---|
| 1659633113 | Cathleen Elaine Mcclusky | Specialist | 1452 Route 9g, Hyde Park, NY 12538-2172 | 2012-06-11 |
| 1790810745 | Boston Pain Clinic & Primary Care PC | Specialist | 188 Providence St, Hyde Park, MA 02136-1856 | 2007-02-22 |
| 1285742023 | Arvia Physical Therapy | Specialist | 41 Fairmount Ave, Hyde Park, MA 02136-2701 | 2006-08-29 |
| 1053706317 | Michelle Sawyer-houle | Specialist | 111 Main Street, Suite 3, Unit 3, Hyde Park, VT 05665 | 2015-04-03 |
| 1629144555 | Hyde Park Pediatrics, P.C. | Specialist | 695 Truman Hwy, Suite #203, Hyde Park, MA 02136-3552 | 2006-11-24 |
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| 1891395463 | Mk Star Inc | Specialist | 104 Linwood Ave, Staten Island, NY 10305-4400 | 2020-10-31 |
| 1649870981 | David Abrahams | Specialist | 22016 138th Ave, Laurelton, NY 11413-2325 | 2020-10-27 |
| 1477152122 | Kevin D Spencer | Specialist | 12027 Nashville Blvd Apt 1, Saint Albans, NY 11412-3829 | 2020-10-23 |
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
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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.