ELYSE HANNAN (NPI# 1386011385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386011385 |
| Entity Type | Individual |
| Full Name | ELYSE HANNAN |
| Credential | PA |
| Practice Address |
219 Blooming Grove Tpke New Windsor NY 12553 |
| Mailing Address |
155 Crystal Run Rd Middletown NY 10941-4057 |
| Practice Telephone | 8455618060 |
| Mailing Telephone | 8457036999 |
| Mailing Fax Number | 8457036297 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
019059 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
219 BLOOMING GROVE TPKE |
| City | NEW WINDSOR |
| State | NY |
| Zip Code | 12553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778977 | Gina C. Delsavio | Orthopaedic Surgery | 219 Blooming Grove Tpke, New Windsor, NY 12553-7769 | 2005-05-31 |
| 1649766510 | Crystal Run Healthcare Physicians LLP | Durable Medical Equipment & Medical Supplies | 219 Blooming Grove Tpke, New Windsor, NY 12553-7769 | 2018-07-03 |
| 1093168353 | Evan Ginsburg | Physician Assistant | 219 Blooming Grove Tpke, New Windsor, NY 12553-7769 | 2016-07-21 |
| 1063890168 | Michelle C. Kornet | Occupational Therapist | 219 Blooming Grove Tpke, New Windsor, NY 12553 | 2015-05-11 |
| 1982027538 | Maribel Cuevas | Occupational Therapist | 219 Blooming Grove Tpke, New Windsor, NY 12553 | 2014-01-31 |
| 1811299373 | Krystle Pohl | Physician Assistant | 219 Blooming Grove Tpke, New Windsor, NY 12553 | 2010-12-03 |
| 1114158250 | Wasik Ashraf | Orthopaedic Surgery | 219 Blooming Grove Tpke, New Windsor, NY 12553 | 2009-08-06 |
| 1396906624 | Kimberly M. Farrugia | Physician Assistant | 219 Blooming Grove Tpke, New Windsor, NY 12553 | 2008-06-19 |
| 1033304589 | Archit Vipul Patel | Orthopaedic Surgery | 219 Blooming Grove Tpke, New Windsor, NY 12553-7769 | 2007-09-07 |
| 1467656496 | Alicia M Byrne | Physical Therapist | 219 Blooming Grove Tpke, New Windsor, NY 12553 | 2007-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578080891 | Trevon Solivan | Licensed Practical Nurse | 40 Cedar Lane Apt 2, New Windsor, NY 12553 | 2017-08-28 |
| 1336695097 | Toni Casiano | Licensed Practical Nurse | 1204 Corporal Tremblay Way, New Windsor, NY 12553 | 2016-08-31 |
| 1952765729 | Chelsea Burawa | Speech-Language Pathologist | Hudson Valley Speech and Swallowing Therapy, 815 Blooming Grove Turnpike, New Windsor, NY 12553 | 2016-04-07 |
| 1740656586 | Juliana F Fiore | Physical Therapist | 219 Blooming Grove Turnpike, New Windsor, NY 12553 | 2015-08-17 |
| 1629472857 | Maryellen Banker | Social Worker | 10 Kayleen Dr., Windsor Counseling Group, New Windsor, NY 12553 | 2014-10-17 |
| 1720488398 | Stacey Browne | Speech-Language Pathologist | 119 Winding Brook Ct, New Windsor, NY 12553 | 2014-09-02 |
| 1154731404 | Greenburgh - North Castle Ufsd/kaplan Career Academy | Local Education Agency (LEA) | 623 Blooming Grove Turnpike, New Windsor, NY 12553 | 2014-05-07 |
| 1427478114 | Julie Taft | Counselor | 1124 Ny Route 94, Suite 201, New Windsor, NY 12553 | 2014-04-21 |
| 1699199158 | Jessica G Veroline | Social Worker | 930 Raz Avenue, Arc of Orange County New Windsor Ple, New Windsor, NY 12553 | 2014-02-04 |
| 1316374762 | Aggies Full Beauty Salon | General Acute Care Hospital | 420 State Route 32, Vails Gate, NY 12553 | 2013-10-01 |
| Find all providers in zip 12553 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346214814 | Raymond N Mott IIi | Physician Assistant | 367 Windsor Hwy, Suite 435, New Windsor, NY 12553-7900 | 2006-02-13 |
| 1396906624 | Kimberly M. Farrugia | Physician Assistant | 219 Blooming Grove Tpke, New Windsor, NY 12553 | 2008-06-19 |
| 1699895672 | Heidi Fyrberg | Physician Assistant | 831 Little Britain Rd, New Windsor, NY 12553-5518 | 2007-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434727 | Julia Loren Bartsch | Physician Assistant | 11791 Genesee St, Alden, NY 14004-9713 | 2020-10-16 |
| 1295347078 | Alana Janine Miller | Physician Assistant | 1060 5th Ave # 1b, New York, NY 10128-0104 | 2020-08-21 |
| 1336768647 | Abul Sarker | Physician Assistant | 2 Sagamore Ave, Suffern, NY 10901-7412 | 2020-04-16 |
| 1689200412 | Margaret Ann Sullivan | Physician Assistant | 7011 108th St Apt 4l, Forest Hills, NY 11375-4407 | 2020-03-12 |
| 1376177527 | Anabell Marina Lopez Plaza | Physician Assistant | 12 Berrywood Ct, Bay Shore, NY 11706-2058 | 2020-02-26 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1831736602 | Ll Physician Assistant PC | Physician Assistant | 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 | 2019-11-29 |
| 1992348775 | Nafiur Rahman Chowdhury | Physician Assistant | 8268 164th St Rm A3-65, Jamaica, NY 11432-1121 | 2019-10-23 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1578114377 | Matthew Newmark Eisenstein | Physician Assistant | 3260 43rd St Apt 2r, Astoria, NY 11103-2745 | 2019-09-23 |
| Find all providers with the same taxonomy | ||||
| City | NEW WINDSOR |
| Zip Code | 12553 |
Please comment or provide details below to improve the information on ELYSE HANNAN.
| 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.