DR. HATEM JASIM MUKHLIS (NPI# 1346680113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346680113 |
Entity Type | Individual |
Full Name | DR. HATEM JASIM MUKHLIS |
Credential | M.D. |
Practice Address |
344 Twist Run Rd Endwell NY 13760-1028 |
Practice Telephone | 6077855420 |
Practice Fax Number | 6077855420 |
Mailing Telephone | 6077855420 |
Mailing Fax Number | 6077855420 |
Enumeration Date | 2013-06-26 |
Last Update Date | 2013-06-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
164382 | NY | Ambulatory Health Care Facilities |
Street Address |
344 TWIST RUN RD |
City | ENDWELL |
State | NY |
Zip Code | 13760-1028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649745084 | Lori Ann Bullock | Registered Nurse | 816 Martin Street, Endicott, NY 13760 | 2018-10-12 |
1295231405 | Michelle Maria Kavanaugh | Technician/Technologist | 3505 Watson Blvd, Endwell, NY 13760 | 2018-04-05 |
1619490091 | Lynda Benson Coccia | Counselor | 1635 Union Center Highway, Endicott, NY 13760 | 2017-07-18 |
1780038117 | Maliha Suleman | Family Medicine | Lourdes Endicott Primary Care, 415 E. Main St, Endicott, NY 13760 | 2016-04-22 |
1851738165 | Charles William Wells | Clinic/Center | 101 Mitchell St Apt 1, A1 Chucks Taxi, Endicott, NY 13760 | 2013-05-28 |
1811257991 | Leslie Estelle Eldridge | Licensed Practical Nurse | 700 W. Wendell St, Endicott, NY 13760 | 2012-05-22 |
1801176946 | Janet M Dimaria | Physical Therapist | 712 Farm To Market Rd., Endwell, NY 13760 | 2011-08-21 |
1629398466 | Elaine Eagan Mcgraw | Social Worker | 715 Paden St., Endicott, NY 13760 | 2010-06-03 |
1447497060 | Sarah Jean Krager | Early Intervention Provider Agency | 317 North Roosevelt Avenue, Endicott, NY 13760 | 2009-01-20 |
1457504342 | Timothy John Federowicz | Chiropractor | 2911 Watson Blvd., Endicott, NY 13760 | 2008-10-23 |
Find all providers in zip 13760 |
Taxonomy Code | 261QE0002X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Emergency Care |
Definition to come... |
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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.