LORRAINE WISNIESKI (NPI# 1285020396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285020396 |
| Entity Type | Individual |
| Full Name | LORRAINE WISNIESKI |
| Credential | R.N. |
| Practice Address |
200 Wireless Blvd Hauppauge NY 11788-3974 |
| Mailing Address |
2 Longwood Dr Huntington Station NY 11746-4716 |
| Practice Telephone | 6318537373 |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
297848-1 | NY | Ambulatory Health Care Facilities |
| Street Address |
200 WIRELESS BLVD |
| City | HAUPPAUGE |
| State | NY |
| Zip Code | 11788-3974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669574547 | County of Suffolk | Clinic/Center | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2006-09-02 |
| 1366057432 | Sandra Iasevoli | Registered Nurse | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2020-09-15 |
| 1508480344 | Cindy Ann Salvato | Registered Nurse | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2020-06-07 |
| 1710529896 | Kristen Mcallister | Registered Nurse | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2019-10-10 |
| 1427569565 | Christine Panuccio | Registered Nurse | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2017-10-16 |
| 1730587866 | Donna Rae Aebisher | Social Worker | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2014-12-05 |
| 1447590955 | Britt Evelyn Peterson | Registered Nurse | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2013-02-20 |
| 1952685836 | Marge T Crane | Registered Nurse | 200 Wireless Blvd, Hauppauge, NY 11788 | 2011-10-10 |
| 1386766293 | Francis John Safina | Internal Medicine | 200 Wireless Blvd, Hauppauge, NY 11788-3933 | 2007-04-04 |
| 1992827919 | Beverly Ann Zapasek | Registered Nurse | 200 Wireless Blvd, Hauppauge, NY 11788-3933 | 2007-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122691 | Megan Breen | Occupational Therapist | 1363 E Veterans Memorial Hwy, # 8, Hauppauge, NY 11788 | 2019-09-11 |
| 1396300729 | Destination Dental Pllc | Dentist | 400 Townline Rd Ste 150, Hauppauge, NY 11788 | 2019-05-01 |
| 1285199612 | Juan Cardona | Registered Nurse | 99 Adams Ave, Hauppage, NY 11788 | 2019-02-11 |
| 1548737836 | Lauren Nicole Mateja | Physician Assistant | 7 Essex Drive, Hauppauge, NY 11788 | 2018-10-25 |
| 1174004477 | North Shore Anesthesia Group | Clinic/Center | 11-52 Engineers St, Haupphauge, NY 11788 | 2018-08-24 |
| 1891244414 | Donna Carrature | Technician, Other | 101 Old Post Drive, Hauppauge, NY 11788 | 2016-09-23 |
| 1427504455 | Jessica L Arnoux | Speech-Language Pathologist | 1363 Veterans Memorial Hwy #8, Metro Therapy, Hauppauge, NY 11788 | 2016-08-30 |
| 1548716871 | Angelica Lalota | Speech-Language Pathologist | 495 Hoffman Lane Suite #3, Hauppauge, NY 11788 | 2016-08-28 |
| 1831541440 | Melissa Modica | Behavioral Analyst | 9 Calico Tree Road, Hauppauge, NY 11788 | 2016-07-07 |
| 1588033377 | Corissa N Ceschini | Speech-Language Pathologist | 12 Don Ln, Hauppauge, NY 11788 | 2015-09-22 |
| Find all providers in zip 11788 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669574547 | County of Suffolk | Clinic/Center | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2006-09-02 |
| 1659491975 | Dept. of Health | Clinic/Center | 200 Wireless Blvd, Hauppauge, NY 11788-3933 | 2007-03-30 |
| 1649374851 | County of Suffolk | Clinic/Center | North County Complex, Building 151, Hauppauge, NY 11788 | 2006-09-08 |
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| 1396843967 | Gramaercy Park Medical Group | Clinic/Center | 253 3rd Ave # 55, New York, NY 10010-7401 | 2006-09-20 |
| 1891897781 | County of Suffolk | Clinic/Center | 689 Jericho Tpke, Huntington Station, NY 11746-7501 | 2006-09-02 |
| 1083618672 | Buffalo Beacon Corporation | Clinic/Center | 3354 Sheridan Dr, Amherst, NY 14226-1439 | 2005-06-10 |
| 1801428222 | Bronxcare Health System | Clinic/Center | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2020-02-05 |
| 1437798824 | Sisters of Charity Hospital of Buffalo New York | Clinic/Center | 158 Holden St, Buffalo, NY 14214-2226 | 2020-01-02 |
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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.