AMANDA J PARK


Address: 291 Channon Rd, Hewlett, NY 11557-2701
Phone: 5162877092

AMANDA J PARK (NPI# 1285104331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285104331
Entity Type Individual
Full Name AMANDA J PARK
Practice Address 291 Channon Rd
Hewlett
NY 11557-2701
Practice Telephone 5162877092
Mailing Telephone 5162877092
Enumeration Date 2018-12-03
Last Update Date 2018-12-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 828359 NY Other Service Providers

Other Providers AMANDA PARK

NPI Name Taxonomy Address Enumeration
1134781305 Amanda Elizabeth Park Nurse Practitioner 757 Westwood Plz, Los Angeles, CA 90095-8358 2019-07-08
1780032482 Amanda Park Anesthesiology 333 Cedar St # Street3, Ynhh- Dept Anesthesiology, New Haven, CT 06510-3206 2016-06-03
1134379951 Amanda Park Psychologist 615 Piikoi St, Suite 203, Honolulu, HI 96814-3116 2008-09-29
1376742775 Amanda Lee Park Dietitian, Registered 5000 W National Ave, Milwaukee, WI 53295-0001 2007-07-16

Office Location

Street Address 291 CHANNON RD
City HEWLETT
State NY
Zip Code 11557-2701

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366073116 Christina M Ganci Social Worker 1355 Noel Avenue, Hewlett, NY 11557 2020-01-30
1750945614 Betsy Lantner Md Obgyn Pllc Obstetrics & Gynecology 1571 Broadway, Hewlett, NY 11557 2019-04-26
1699216671 Heather Murphy Specialist 383 Hamilton Ave, Hewlett, NY 11557 2017-03-10
1891070561 Howard Shulman Obstetrics & Gynecology 178 Torquay Pl, Hewlett, NY 11557 2011-10-13
1467731927 Kidz Discovery Inc. Early Intervention Provider Agency 1234 West Broadway Ste. 201, Hewlett, NY 11557 2011-08-15
1376844324 Martin J. Evans Pediatrics 198 Woodside Dr., Hewlett, NY 11557 2010-11-08
1154566511 Beth Marlene Swedarsky Speech-Language Pathologist 157 Harris Avenue, Hewlett, NY 11557 2008-12-12
1801074992 Jay Horowitz Social Worker 1104 Westwood Rd, Hewletter, NY 11557 2008-01-31
1134126188 Steven Bruce Epstein Podiatrist 1175 W Broadway, Suite 10, Hewlett, NY 11557 2005-07-06
1063414282 Richard Louis Markowitz Internal Medicine 1553 Broadway, Hewlett, NY 11557 2005-06-01
Find all providers in zip 11557

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740814672 Tzivia's Services, Inc. Specialist 1280 Westervelt Pl, Hewlett, NY 11557-1208 2020-03-01
1508412768 Samantha B Shakarchi Specialist 330 Hamilton Ave, Hewlett, NY 11557-1909 2019-08-14
1710479928 Eti Babayev Specialist 15 Ives Rd Ste 1, Hewlett, NY 11557-2034 2018-06-04
1487178091 Rozana Zemlyansky Specialist 15 Sutton Ln, Hewlett, NY 11557-1010 2017-07-26
1114458593 Lauren Giordano Specialist 350 Hamilton Ave, Hewlett, NY 11557-1130 2017-03-27
1699216671 Heather Murphy Specialist 383 Hamilton Ave, Hewlett, NY 11557 2017-03-10
1225578156 Rita Kerner Specialist 34 Yale Ave, Hewlett, NY 11557-1528 2017-02-25
1386098739 Stephanie Decicco Specialist 323 Hewlett Pkwy, Hewlett, NY 11557-1201 2016-04-21
1003270943 Anastasia Aleynik Specialist 31 Geoffrey Ln, Hewlett, NY 11557-1002 2016-04-06
1790156065 Samantha Mirkin Specialist 266 Adams Rd, Hewlett, NY 11557-2765 2015-10-13
Find all providers in HEWLETT

Competitor

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City HEWLETT
Zip Code 11557

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Dataset Information

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.

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