BROOKHAVEN SCIENCE ASSOCIATES (NPI# 1336531128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336531128 |
| Entity Type | Organization |
| Organization Name | BROOKHAVEN SCIENCE ASSOCIATES |
| Practice Address |
30 Bell Ave Bldg 490 Upton NY 11973-5000 |
| Mailing Address |
30 Bell Ave. Bldg 490 Omc Upton NY 11973-5000 |
| Practice Telephone | 6313443666 |
| Practice Fax Number | 6313447366 |
| Mailing Telephone | 6313443666 |
| Mailing Fax Number | 6313447366 |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |
| Authorized Official Name | DR. JOSEPH P. FALCO (MANAGER, OCCUPATIONAL MEDICINE CLIN) |
| Authorized Official Telephone | 6313443666 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
192014-1 | NY | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BROOKHAVEN SCIENCE ASSOCIATES, LLC | 2 Center Street, Upton, Ny 119735000 |
| Street Address |
30 BELL AVE BLDG 490 |
| City | UPTON |
| State | NY |
| Zip Code | 11973-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275991796 | Joseph P Falco | Preventive Medicine | 30 Bell Ave, Bldg. 490 Brookhaven National Lab, Upton, NY 11973-5000 | 2016-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821393620 | Carol Denise Davis | Preventive Medicine | 30 Bell Avenue, Bldge 490 Omc Brookhaven National Laboratory, Upton, NY 11973 | 2011-01-26 |
| 1922155985 | Hope Fisher | Emergency Medicine | 79-01broadway, Managed Care D1-04, Elmhurst, NY 11973 | 2007-01-04 |
| 1467779231 | Fritz A. Henn | Psychiatry & Neurology | Bldg. 490 Bell Ave, Brookhaven National Laboratory, Upton, NY 11973-5000 | 2010-05-03 |
| 1437510120 | Eva Barbara Erens | Internal Medicine | 30 Bell Avenue, Bldg 490 Occupational Medicine Clinic, Brookhaven Natio, Upton, NY 11973-5000 | 2016-03-09 |
| 1407153067 | Patricia Anne Edwards | Nurse Practitioner | 30 Bell Avenue, Brookhaven National Laboratory, Omc, Bldg. 490, Upton, NY 11973-5000 | 2011-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348326 | Matthew Ryan Dubois | Psychologist | 3 Mayflower Dr, Upton, MA 01568-0135 | 2020-05-21 |
| 1134748882 | Patrick Hazard | Student in an Organized Health Care Education/Training Program | 63 Mendon St, Upton, MA 01568-1412 | 2020-04-13 |
| 1508497165 | Stacy Kuhn | Counselor | 1123 Laton Turner Rd, Upton, KY 42784-9507 | 2020-01-31 |
| 1033690904 | Laurie M Dupre | Social Worker | 17 Whitney Lane, Upton, MA 01568 | 2018-08-28 |
| 1548757172 | Lauren Travers | Speech-Language Pathologist | 8 Pierce Ln, Upton, MA 01568-1598 | 2018-04-19 |
| 1053831958 | Jessica Angela Polselli | Licensed Practical Nurse | 135 Glen Ave, Upton, MA 01568 | 2017-06-21 |
| 1184032302 | Infinite Horizon Chiropractic | Chiropractor | 504 Pine St., Apt. 7, Upton, WY 82730 | 2014-07-31 |
| 1326463480 | Tiffany Wilkerson | Occupational Therapy Assistant | 266 Crissy St, Upton, KY 42784-9345 | 2014-02-26 |
| 1487914461 | Janet M. Murphy | Behavioral Analyst | 8 Josiah Dr, Upton, MA 01568-1451 | 2012-05-23 |
| 1184906521 | Renee L. Malloy | Speech-Language Pathologist | 117 Hopkinton Rd, Upton, MA 01568-1000 | 2011-09-12 |
| Find all providers in UPTON | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
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| 1992082564 | Olga Gomez Inc | Clinic/Center | 334 41st St, Brooklyn, NY 11232-3504 | 2011-11-10 |
| 1184929903 | The Medical Offices of Occupational Health Resources Prof Corp | Clinic/Center | 1 New York Times Plz, Flushing, NY 11354-1200 | 2011-01-26 |
| 1053627927 | United Nations Medical Services Division | Clinic/Center | 405 East 42nd Street, Medical Services Division, New York, NY 10017 | 2010-08-30 |
| Find all providers with the same taxonomy | ||||
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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.