MARK WIELGUS (NPI# 1295045706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295045706 |
| Entity Type | Individual |
| Full Name | MARK WIELGUS |
| Credential | PH.D. |
| Practice Address |
141 Dosoris Ln Glen Cove NY 11542-1225 |
| Mailing Address |
303 Merrick Rd Suite 204 Lynbrook NY 11563-2501 |
| Practice Telephone | 5166761100 |
| Practice Fax Number | 5165790216 |
| Mailing Telephone | 8007256280 |
| Mailing Fax Number | 8007256380 |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
009602 | NY | Behavioral Health & Social Service Providers |
| Street Address |
141 DOSORIS LN |
| City | GLEN COVE |
| State | NY |
| Zip Code | 11542-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174520704 | Glengariff Corporation | Skilled Nursing Facility | 141 Dosoris Ln, Glen Cove, NY 11542-1225 | 2005-06-28 |
| 1609474477 | Ogechi Lilian Okeke | Internal Medicine | 141 Dosoris Ln, Glen Cove, NY 11542-1225 | 2020-10-14 |
| 1851903181 | Shefiulai Akande | Family Medicine | 141 Dosoris Ln, Glen Cove, NY 11542-1225 | 2020-08-18 |
| 1477024966 | Glengariff Operating LLC | Skilled Nursing Facility | 141 Dosoris Ln, Glen Cove, NY 11542-1225 | 2018-12-10 |
| 1851866644 | Mina Sidarous | Physical Therapist | 141 Dosoris Ln, Glen Cove, NY 11542-1225 | 2018-10-08 |
| 1821480237 | Glengariff Dialysis Center LLC | Clinic/Center | 141 Dosoris Ln, Glen Cove, NY 11542-1225 | 2015-02-21 |
| 1295047868 | Charisse Jolo | Physical Therapist | 141 Dosoris Ln, Glen Cove, NY 11542-1225 | 2010-07-11 |
| 1124170923 | Charles Alfred | Occupational Therapy Assistant | 141 Dosoris Ln, Glengariff Health Care Center, Glen Cove, NY 11542-1225 | 2007-01-18 |
| 1396809117 | Maria Torroella Carney | Internal Medicine | 141 Dosoris Ln, Glen Cove, NY 11542-1225 | 2006-12-20 |
| 1063430700 | Paul Herman | Psychologist | 141 Dosoris Ln, Glen Cove, NY 11542-1225 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104468461 | Yvonne N Valcourt | Registered Nurse | 14 Burns Ave, Glen Cove, NY 11542 | 2019-10-08 |
| 1508419771 | Gregory Stephen Bonistalli | Audiologist | 70 Glen St Ste 100, Glen Cove, NY 11542 | 2019-07-17 |
| 1861954646 | Pulkit Malik | Student in an Organized Health Care Education/Training Program | Northwell Health Glen Cove Hospital, 101 St. Andrews Lane, Glen Cove, NY 11542 | 2019-04-02 |
| 1912498783 | Rays of Light Companion Care Agency LLC | Long Term Care Hospital | 70 Forest Ave # 2g, Glen Cove, NY 11542 | 2018-05-28 |
| 1164978391 | Nithin Kuruvilla | Pharmacist | 421 Glen Cove Road, East Hills, NY 11542 | 2016-08-28 |
| 1063879245 | Kerri A Sujeski | Physician Assistant | 104 Forest Avenue, Glen Cove, NY 11542 | 2016-01-19 |
| 1093110884 | Sherri Meagher | Social Worker | 130 Glen Street, Glen Cove, NY 11542 | 2014-10-23 |
| 1174946537 | Lori Seele | Psychologist | Ridge Drive, Connolly Elementary School, Glen Cove, NY 11542 | 2014-01-21 |
| 1255671210 | Wendy S Grossman | Speech-Language Pathologist | 2 Dosoris Lane, Deasy School Glen Cove School District, Glen Cove, NY 11542 | 2013-02-27 |
| 1033459318 | Kristin Strelec | Social Worker | Seaman & Walnut Roads, Gribbin School Glen Cove School District, Glen Cove, NY 11542 | 2013-02-22 |
| Find all providers in zip 11542 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972799245 | Giovanna Caggiano | Psychologist | 29 Circle Drive, Glen Cove, NY 11542 | 2007-09-20 |
| 1669454450 | Barbara S. Cohen | Psychologist | 8 Woodland Rd, Glen Cove, NY 11542-1727 | 2005-11-16 |
| 1265438774 | Frances Bahi | Psychologist | 15 Glen St, Ste 302b, Glen Cove, NY 11542-2783 | 2005-06-21 |
| 1528274537 | Blanca Dobbins | Psychologist | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2007-05-15 |
| 1871708479 | William Kitay | Psychologist | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2007-05-14 |
| 1497888390 | Ayme Turnbull | Psychologist | 15 Glen St, Suite 203, Glen Cove, NY 11542-2782 | 2007-03-13 |
| 1063430700 | Paul Herman | Psychologist | 141 Dosoris Ln, Glen Cove, NY 11542-1225 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346060 | Alexandra Hittman | Psychologist | 26 Palisade St, Dobbs Ferry, NY 10522-2107 | 2020-11-07 |
| 1184225849 | Linda L Street | Psychologist | 165 Saint Regis Dr, Massapequa Park, NY 11762-3454 | 2020-11-07 |
| 1063012318 | Inga Korsgaard | Psychologist | 233 Broadway Rm 850, New York, NY 10279-0800 | 2020-10-27 |
| 1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
| 1760081830 | Meagan Ryan | Psychologist | 1 3rd Ave Apt 516, Mineola, NY 11501-4340 | 2020-10-20 |
| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
| 1558968842 | Ethan Eisen | Psychologist | 107 Lakeside Dr E, Lawrence, NY 11559-1718 | 2020-10-08 |
| 1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
| 1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
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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.