DR. STACI BRUNELL (NPI# 1306366083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306366083 |
| Entity Type | Individual |
| Full Name | DR. STACI BRUNELL |
| Credential | DMD |
| Practice Address |
1974 Maple Hill St # A Yorktown Heights NY 10598-4190 |
| Practice Telephone | 9142451670 |
| Mailing Telephone | 9142451670 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 059881 | NY | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
059881 | NY | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4422 Third Ave, Department of Dentistry, Bronx, NY 10457 | 7189609000 |
| Street Address |
1974 MAPLE HILL ST # A |
| City | YORKTOWN HEIGHTS |
| State | NY |
| Zip Code | 10598-4190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447715859 | Francoise Alice Stine | Registered Nurse | 162 Tomahawk Street, Yorktown Heights, NY 10598 | 2019-02-10 |
| 1184170771 | I Heart Soul | Community/Behavioral Health | 240 Underhill Ave Apt 6, Yorktown Heights, NY 10598 | 2016-09-01 |
| 1881147338 | Alexandra Bucci | Speech-Language Pathologist | 143 California Road, Yorktown Heights, NY 10598 | 2016-08-02 |
| 1821488016 | Judith Lynn Baddeley | Behavioral Analyst | 2293 William Court, Yorktown Heights, NY 10598 | 2015-01-27 |
| 1275931362 | Deborah Ann Roffi | Licensed Practical Nurse | 420 Cording Road, Yorktown, NY 10598 | 2014-12-05 |
| 1932506433 | Cindi Bane | Dentist | 206 Veterans Road, Suite 7, Yorktown Heights, NY 10598 | 2014-11-26 |
| 1992105068 | Kerry Farrell | Speech-Language Pathologist | 369 Birdsall Dr, Yorktown Heights, NY 10598 | 2014-08-26 |
| 1306255500 | Ursula Sanchez | Occupational Therapist | 57 Oslo Drive, Bronx, NY 10598 | 2014-08-13 |
| 1922410463 | Dana Linden | Behavioral Analyst | 3595 Strang Blvd Apt A, Yorktown Heights, NY 10598 | 2014-06-02 |
| 1598192361 | Barbara Ann Nuccio | Registered Nurse | 1431 Chatham Lane, Yorktown Heights, NY 10598 | 2013-10-10 |
| Find all providers in zip 10598 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538642244 | Cohen Pediatric Dentistry, PC | Dentist | 2651 Strang Blvd Ste 115, Yorktown Heights, NY 10598-2941 | 2018-09-09 |
| 1922103969 | Heejin Choi | Dentist | 2985 Navajo St, Yorktown Heights, NY 10598-1832 | 2006-09-14 |
| 1760485601 | Jeffrey Martin Ginsberg | Dentist | 1974 Maple Hill St, Yorktown Heights, NY 10598-4190 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557059 | Smiles and Grins Pediatric Dentistry | Dentist | 160 E 88th St Apt 1d, New York, NY 10128-2217 | 2020-10-30 |
| 1891395810 | Ez Orthodontics Pllc | Dentist | 4010 82nd St Fl 2, Elmhurst, NY 11373-1305 | 2020-10-28 |
| 1346858677 | Kids Dental of Queens PC | Dentist | 4236 82nd St # C, Elmhurst, NY 11373-3537 | 2020-07-22 |
| 1073131512 | Prohealth Dental Pllc | Dentist | 2318 31st St Ste 320, Astoria, NY 11105-2765 | 2020-07-10 |
| 1952929911 | Kiddsmiles Pediatric Dentistry 7 Pllc | Dentist | 263 Jericho Tpke, Floral Park, NY 11001-2146 | 2020-07-07 |
| 1376177782 | Pco Ortho LLC | Dentist | 3422 35th St, Long Island City, NY 11106-1268 | 2020-02-24 |
| 1033749916 | Yehuda Marciano Dds PC | Dentist | 932 Broadway Ste 1, Woodmere, NY 11598-1723 | 2020-01-20 |
| 1710521752 | Asnis Dental Pllc | Dentist | 800 N Broadway, Massapequa, NY 11758-2335 | 2019-11-02 |
| 1760026777 | Dr. Stephen A Festa-pediatric Dentistry Pllc | Dentist | 3755 76th St Bsmt Apt, Jackson Heights, NY 11372-6552 | 2019-11-01 |
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | YORKTOWN HEIGHTS |
| Zip Code | 10598 |
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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.