DR. YANINA KOTLYAR (NPI# 1396717153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396717153 |
| Entity Type | Individual |
| Full Name | DR. YANINA KOTLYAR |
| Credential | MD |
| Practice Address |
20 Squadron Blvd Suite 550 New City NY 10956-5200 |
| Practice Telephone | 8456348800 |
| Practice Fax Number | 8456381679 |
| Mailing Telephone | 8456348800 |
| Mailing Fax Number | 8456381679 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2007-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 204324 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01714167 | 05 |
| Street Address |
20 SQUADRON BLVD SUITE 550 |
| City | NEW CITY |
| State | NY |
| Zip Code | 10956-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959303 | Antonetta Lucy Antonazzo | Nurse Practitioner | 20 Squadron Blvd, Suite 560, New City, NY 10956-5200 | 2005-08-17 |
| 1760946958 | Jamie Hope Manning | Social Worker | 20 Squadron Blvd, New City, NY 10956-5200 | 2019-01-22 |
| 1437520236 | Mimi Gelb | Marriage & Family Therapist | 20 Squadron Blvd, New City, NY 10956-5200 | 2015-10-19 |
| 1932576253 | Oksana Alyekseyenko-petrie | Licensed Practical Nurse | 20 Squadron Blvd, New City, NY 10956 | 2015-08-24 |
| 1003255449 | Tracy Kim Murphy | Social Worker | 20 Squadron Blvd, Suite 650g, New City, NY 10956-5200 | 2013-06-19 |
| 1831443274 | Anthony J. Muscatella | Physical Therapist | 20 Squadron Blvd, Ste 340, New City, NY 10956-5261 | 2012-11-07 |
| 1811155757 | Michael Kasper | Social Worker | 20 Squadron Blvd, Suite 470, New City, NY 10956-5200 | 2008-05-28 |
| 1528244852 | Fall Prevention Care & Associates Inc. | Durable Medical Equipment & Medical Supplies | 20 Squadron Blvd, Suite 580, New City, NY 10956-5200 | 2008-01-16 |
| 1063607968 | Jeffrey Jack Sanoian | Physical Therapist | 20 Squadron Blvd, Suite 320, New City, NY 10956-5200 | 2007-09-13 |
| 1578779211 | Harvey Siegel | Social Worker | 20 Squadron Blvd, Suite 680, New City, NY 10956-5200 | 2007-05-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659703 | Shadae Keilia Kleckley | Technician | 19 Dixwell Road, New City, NY 10956 | 2019-10-03 |
| 1326518911 | Jenna Marie Rogoff | Occupational Therapy Assistant | 254 S Main Street Suite 400, New City, NY 10956 | 2018-11-27 |
| 1326515065 | Dynamic Dental Arts of Rockland Pllc | Dentist | 345 North Main St. Ste. 5, New City, NY 10956 | 2018-10-31 |
| 1760981062 | Alyssa Rothschild Taxin | Nutritionist | 18 Snowdrop Drive, New City, NY 10956 | 2018-02-02 |
| 1245738103 | Martin A Petersel | Counselor | 3 Rexal Court, New City, NY 10956 | 2018-01-25 |
| 1831601475 | Carissa Aurellano | Occupational Therapist | 873 Rte 45 Ste 102, New City, NY 10956 | 2017-11-03 |
| 1376064055 | Evelyn Ringel | Specialist | 14 Concord Drive, New City, New City, NY 10956 | 2017-07-03 |
| 1720517089 | Orlee Elizabeth Krass | Specialist | 2, Woodland Road, New City, NY 10956 | 2017-06-08 |
| 1639617293 | Ann Damiani Orlando | Registered Nurse | 32 Twin Elms Lane, New City, NY 10956 | 2017-02-03 |
| 1225496300 | Timber Counseling Corp. | Community/Behavioral Health | 115 North Main Street, New City, NY 10956 | 2016-02-04 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215416383 | Alnajar Medical | Internal Medicine | 3 E Evergreen Rd Ste 1017, New City, NY 10956-5101 | 2018-08-09 |
| 1639553621 | Onyeka Paul Ojinna | Internal Medicine | 39 Roberts Rd, New City, NY 10956-4232 | 2015-07-20 |
| 1689929085 | Amer Alnajar | Internal Medicine | 3 E Evergreen Rd # 1017, New City, NY 10956-5101 | 2012-07-21 |
| 1366695207 | Phillips Hill Pain Mgmt., PC | Internal Medicine | 100 Phillips Hill Rd., New City, NY 10956 | 2008-10-23 |
| 1265697544 | Josef Harvey Neiman | Internal Medicine | 28 Woodhaven Drive, New City, NY 10956 | 2008-07-25 |
| 1225252240 | Primecare Medicine P.C. | Internal Medicine | 14 Raleigh Dr, New City, NY 10956-5841 | 2007-04-12 |
| 1649355686 | Fe Trinidad Reyes-arcangel | Internal Medicine | 1 Anton Ct, New City, NY 10956-6265 | 2006-10-26 |
| 1902913684 | Joseph Anthony Salerno | Internal Medicine | 232 North Main Street, New City, NY 10956 | 2006-08-25 |
| 1730112012 | Kathirgamathas Kurunathapillai | Internal Medicine | 242 N Main St, New City, NY 10956-5302 | 2006-07-09 |
| 1952339673 | Donald Edelschick | Internal Medicine | 6 Charles St, New City, NY 10956-1103 | 2006-06-29 |
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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.