PAULETTA DICKERSON


Address: 18009 Jamaica Ave, Jamaica, NY 11432-5620
Phone: 3479870883

PAULETTA DICKERSON (NPI# 1295248151) 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) 1295248151
Entity Type Individual
Full Name PAULETTA DICKERSON
Credential LPN, RN
Practice Address 18009 Jamaica Ave
Jamaica
NY 11432-5620
Mailing Address 16004 Crossbay Blvd # 105
Howard Beach
NY 11414-3407
Practice Telephone 3479870883
Enumeration Date 2017-11-13
Last Update Date 2017-11-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156F00000X Technician/Technologist Eye and Vision Services Providers

Office Location

Street Address 18009 JAMAICA AVE
City JAMAICA
State NY
Zip Code 11432-5620

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NPI Name Taxonomy Address Enumeration
1053882613 Active Movement Physical Therapy PC Physical Therapist 18009 Jamaica Ave, Jamaica, NY 11432-5620 2018-12-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396361259 Banani Road 11 LLC Pharmacy 181-04 Hillside Ave, Jamaica, NY 11432 2020-06-17
1023633450 Staphanie Anang Licensed Practical Nurse 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 2020-06-11
1205459476 Jasmine Kaur Sandhu Student in an Organized Health Care Education/Training Program 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 2020-05-22
1225650385 Alli El-ijla Student in an Organized Health Care Education/Training Program Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 2020-05-12
1346869955 Liane Zwetzich Student in an Organized Health Care Education/Training Program Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 2020-04-14
1528697141 Bahtiyar Toz Student in an Organized Health Care Education/Training Program 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 2020-04-06
1366089468 Alisha Jnobaptiste Counselor 87-59 171 St., Jamaica, NY 11432 2019-12-08
1356995054 Shawnette Natasha Brown Counselor 178-02/04 Jamaica Ave, Jamaica, NY 11432 2019-07-31
1518527142 Magdalene Vidal Case Manager/Care Coordinator 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 2019-06-17
1811550338 Rong Fan Student in an Organized Health Care Education/Training Program 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 2019-04-19
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Taxonomy Information

Taxonomy Code 156F00000X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist

Taxonomy Definition

A broad category grouping different kinds of technologists and technicians. See individual definitions.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720620313 Retina Labs (usa), Inc. Technician/Technologist 165 Broadway - One Liberty Plaza, Suite 2301, New York City, NY 10006 2019-10-15
1184287823 Tms Wellness Amherst LLC Technician/Technologist 8750 Transit Rd Ste 205, East Amherst, NY 14051-2610 2019-04-18
1518450030 Eduard Galper Technician/Technologist 2062 E 36th St, Brooklyn, NY 11234 2018-06-09
1821598517 Michele Marie Hunt Technician/Technologist 13 Seth Sq, Plattsburgh, NY 12901-1777 2018-02-19
1992204606 Nicole Nowasell Technician/Technologist 83 Yvonne Ave, Cheektowaga, NY 14225-1133 2018-02-08
1194239897 Michael Shklyar Technician/Technologist 1664 President St Apt 4k, Brooklyn, NY 11213-5579 2017-11-17
1427465814 Dara Goldrick Technician/Technologist 12 Pvt Lovett Ct, Blauvelt, NY 10913-1247 2014-07-17
1437410081 Brooke A. Jensen Technician/Technologist 99305 Hickory Dr, Fort Drum, NY 13603-3416 2012-05-30
1275825481 Irfan Ahmed Technician/Technologist 3857 Kings Hwy Apt 6a, Brooklyn, NY 11234-2920 2011-05-05
1679863963 Gerald E Sacks Technician/Technologist 1006 Dickens St, Far Rockaway, NY 11691-2407 2011-04-08
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Competitor

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City JAMAICA
Zip Code 11432

Improve Information

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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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