WATER STREET WEST INTEGRATIVE MEDICINE, PLLC (NPI# 1356886683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356886683 |
| Entity Type | Organization |
| Organization Name | WATER STREET WEST INTEGRATIVE MEDICINE, PLLC |
| Practice Address |
244 W Water St Suite 104 Elmira NY 14901-2926 |
| Practice Telephone | 6077676893 |
| Practice Fax Number | 8664532143 |
| Mailing Telephone | 6077676893 |
| Mailing Fax Number | 8664532143 |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | DR. JOSEPH FRANCIS HALUSKA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6077676893 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 222016 | NY | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WATER STREET WEST INTEGRATIVE MEDICINE, PLLC | 54 Bly Road, Pine City, Ny 14871 |
| Street Address |
244 W WATER ST SUITE 104 |
| City | ELMIRA |
| State | NY |
| Zip Code | 14901-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447818182 | Davida Reane Moss | Case Manager/Care Coordinator | 310 Pensyvania Avenue, Elmira, NY 14901 | 2019-05-29 |
| 1316504889 | Jessica Leigh Badilla | Counselor | 1013 Water St, Elmira, NY 14901 | 2019-05-21 |
| 1427508811 | Cynthia Ann Sullivan | Counselor | 1019 E. Water Street, Elmira, NY 14901 | 2016-10-10 |
| 1508313362 | Kim Burlew | Case Manager/Care Coordinator | 1019 W. Water Street Family Services of Chemung County, Elmire, NY 14901 | 2016-09-08 |
| 1396195095 | State of New York Comptrollers Office | Clinic/Center | 164 Sullivan Street, Elmira, NY 14901 | 2016-06-14 |
| 1285089581 | Tasha R Miller | Licensed Practical Nurse | 426 Woodawn Ct, Elmira, NY 14901 | 2016-04-25 |
| 1750628111 | Kelly E Bartle-bush | Social Worker | 711 Sullivan St., Elmira, NY 14901 | 2013-01-04 |
| 1144594946 | Brian Mustico | Occupational Therapist | 512 West Clinton Street, Apartment B, Elmira, NY 14901 | 2012-02-27 |
| 1063780880 | Deidre Ann Callaghan | Physical Therapy Assistant | 555 St.josephs Blvd, Elmira, NY 14901 | 2011-12-07 |
| 1972889467 | Arnot Health | General Acute Care Hospital | 1 St.joseph's Blvd., Elmira, NY 14901 | 2011-10-27 |
| Find all providers in zip 14901 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770922460 | Pamela Joy Cary | Family Medicine | 89935 Territorial Rd, Elmira, OR 97437-9747 | 2013-06-17 |
| 1740628791 | Heather Nicole Underhill | Family Medicine | 571 Saint Josephs Blvd Fl 2, Elmira, NY 14901-3230 | 2013-06-12 |
| 1497906952 | Looknarine Persaud | Family Medicine | 521 Larchmont Rd, Elmira, NY 14905-1214 | 2008-10-02 |
| 1578624078 | Nutrition Clinic | Family Medicine | 1003 Walnut Street, Elmira, NY 14901 | 2006-12-12 |
| 1427168004 | Anthony F Oliva | Family Medicine | 409 Foster Ave, Elmira, NY 14905-2229 | 2006-08-30 |
| 1962510636 | Samuel J. Russo | Family Medicine | 2572 N Us Highway 131, Elmira, MI 49730-8252 | 2006-08-25 |
| 1669440707 | Brent S. Ingerick | Family Medicine | 1336 Cedar St, Elmira, NY 14904-2951 | 2006-03-14 |
| 1497275242 | Esra Salah Shermadou | Family Medicine | 200 Madison Ave, Elmira, NY 14901 | 2017-06-22 |
| 1639529514 | Lukas Mathews | Family Medicine | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2016-06-21 |
| 1598129868 | Kenneth Onuorah | Family Medicine | 602 Ivy St, Elmira, NY 14905-1646 | 2016-04-12 |
| Find all providers in ELMIRA | ||||
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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.