MARISSA ZYDOR (NPI# 1386178127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386178127 |
| Entity Type | Individual |
| Full Name | MARISSA ZYDOR |
| Practice Address |
538 Ny-110 #202 Melville NY 11747 |
| Mailing Address |
1 Birchwood Dr Port Jefferson Station NY 11776-3537 |
| Practice Telephone | 6313857780 |
| Mailing Telephone | 6319461542 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
538 NY-110 #202 |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| 1245786862 | Maria Vanegas | Specialist | 538 Broadhollow Rd Suite 202, Melville, NY 11747 | 2016-09-01 |
| Find all providers in zip 11747 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235793274 | Erika Flerx | Specialist | 9 Woodmont Rd, Melville, NY 11747-3312 | 2019-04-25 |
| 1780166637 | Arielle Hudesman | Specialist | 21 Villas Cir, Melville, NY 11747-3051 | 2018-09-06 |
| 1992297394 | Alisa Ruth Ellis | Specialist | 2320 Court North Dr, Melville, NY 11747-8147 | 2018-05-31 |
| 1578083192 | Sharon Albert | Specialist | 5 Pembury Ct, Melville, NY 11747-3331 | 2017-06-24 |
| 1992231435 | Carissa Lynn Agnello | Specialist | 583 Broadhollow Rd, Suite 202, Melville, NY 11747-5017 | 2017-05-03 |
| 1619401452 | Erika Hawthorne | Specialist | 538 Broadhollow Road West Suite 202, Melville, NY 11757 | 2017-04-19 |
| 1659823201 | Evelyn Guillermo | Specialist | 15 Seton St, Melville, NY 11747-1329 | 2016-10-31 |
| 1730637026 | Kristen Allen | Specialist | 18 Rainer St, Melville, NY 11747-1725 | 2016-09-14 |
| 1245786862 | Maria Vanegas | Specialist | 538 Broadhollow Rd Suite 202, Melville, NY 11747 | 2016-09-01 |
| 1639540644 | Stephanie Kaplan | Specialist | 31 Louis Dr, Melville, NY 11747-1908 | 2015-10-16 |
| Find all providers in MELVILLE | ||||
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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.