NELLY E CUNNINGHAM (NPI# 1295978666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295978666 |
| Entity Type | Individual |
| Full Name | NELLY E CUNNINGHAM |
| Credential | M.D. |
| Practice Address |
224 Richmond Hill Rd Staten Island NY 10314-5988 |
| Practice Telephone | 7183707514 |
| Practice Fax Number | 7183707514 |
| Mailing Telephone | 7183707514 |
| Mailing Fax Number | 7183707514 |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2017-01-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 212395 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
224 RICHMOND HILL RD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-5988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184184004 | Linda Loretta Lally | General Practice | 69 Stack Dr, Staten Island, NY 10312-1662 | 2019-03-25 |
| 1922354547 | Radha Krishna Gara | General Practice | 72 Stobe Ave, Staten Island, NY 10306-2523 | 2012-08-01 |
| 1184997371 | Ivan Mihailof Colef | General Practice | 82 Dogwood Ln, Staten Island, NY 10305-2813 | 2012-02-17 |
| 1669707352 | Presicion Medical Diagnostics of Ny, PC | General Practice | 306 Armstrong Ave, Staten Island, NY 10308-3149 | 2009-10-13 |
| 1104150283 | Joel Brock | General Practice | 479 Sleight Ave, Staten Island, NY 10307-1942 | 2009-09-23 |
| 1477737443 | Michael Anthony Paglia I | General Practice | 100 Hart Blvd, Staten Island, NY 10301-2615 | 2007-12-26 |
| 1750476289 | John R Maese | General Practice | 420 Lyndale Avenue, Staten Island, NY 10312 | 2006-10-03 |
| 1346280666 | Dorothy Ann Matthews | General Practice | 7379 Amboy Road, Staten Island, NY 10307-1427 | 2006-06-07 |
| 1861448896 | Larisa Malisova | General Practice | 420 Lyndale Ave, Staten Island, NY 10312-6131 | 2006-05-25 |
| 1801886817 | Michael Dennis Corrente Jr. | General Practice | 445 Oder Ave, Staten Island, NY 10304-4526 | 2005-10-21 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
Please comment or provide details below to improve the information on NELLY E CUNNINGHAM.
| 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.