MR. LARRY THOMAS DONALDSON (NPI# 1417243353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417243353 |
| Entity Type | Individual |
| Full Name | MR. LARRY THOMAS DONALDSON |
| Credential | CASAC |
| Practice Address |
129 Ridgewood Ave Farmingville NY 11738-1618 |
| Practice Telephone | 6317728547 |
| Mailing Telephone | 6317728547 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18414 | NY | Behavioral Health & Social Service Providers |
| Street Address |
129 RIDGEWOOD AVE |
| City | FARMINGVILLE |
| State | NY |
| Zip Code | 11738-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696408 | Kimberly Barbara Mccleary | Registered Nurse | 56 Woodycrest Drive, Farmingville, NY 11738 | 2018-04-19 |
| 1992210231 | Cs Medical Associates, PC | Family Medicine | 100 Granny Road, Suite 2, Farmingville, NY 11738 | 2017-12-08 |
| 1558882522 | Mili Biju | Registered Nurse | 400h Horseblock Road, Suite H, Farmingville, NY 11738 | 2017-06-29 |
| 1184083040 | Patrick O'reilly | Speech-Language Pathologist | 1 Mount Bear Ct, Farmingville, NY 11738 | 2016-02-19 |
| 1780055004 | Nicole Coscia | Specialist | 62 Roberta Ave, Farmingville, NY 11738 | 2015-10-13 |
| 1619313178 | Grace Propper | Nurse Practitioner | 2880 North Ocean Ave, Farmingville, NY 11738 | 2013-05-10 |
| 1952619165 | Shari Ann Pittaro | Occupational Therapy Assistant | 17 1st St, Farmingville, NY 11738 | 2010-09-22 |
| 1134377815 | Sylvia Sayer | Social Worker | 90 Bershire Drive, Farmingville, NY 11738 | 2008-09-05 |
| 1053590018 | Amy G Berk | Registered Nurse | 12 Columbus Ave, Farmingville, NY 11738 | 2007-10-26 |
| 1912069147 | Kathy Rey | Physician Assistant | 450 Clarkson Ave Box 49, Suny-downstate Medical Center, Brooklyn, NY 11738 | 2006-12-14 |
| Find all providers in zip 11738 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932513868 | Brian Matonti | Counselor | 37 Allegheny Dr E, Farmingville, NY 11738-2837 | 2014-06-18 |
| 1699285619 | Danielle Busch | Counselor | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2017-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578622 | Roberto Javier Torres | Counselor | 115 Angelacrest Ln, West Seneca, NY 14224-3819 | 2020-11-05 |
| 1386245595 | Liliana Maria Calle | Counselor | 1510 Waters Pl Fl 2, Bronx, NY 10461-2700 | 2020-11-04 |
| 1245831528 | Multi Assistance Resource Centers Inc. | Counselor | 509 Willis Ave Fl 4, Bronx, NY 10455-4001 | 2020-11-04 |
| 1952902371 | Brandon Chevere | Counselor | 175 Remsen St Fl 9, Brooklyn, NY 11201-4333 | 2020-11-03 |
| 1619577541 | Josselyn D Carias-rodriguez | Counselor | 90 Cherry Ln, Hicksville, NY 11801-6232 | 2020-10-29 |
| 1275133688 | Carol Hunt | Counselor | 76 Humboldt Pkwy, Buffalo, NY 14214-2605 | 2020-10-27 |
| 1598363806 | Anabel Lago-pedrick | Counselor | 539 County Road 40, Maplecrest, NY 12454-1245 | 2020-10-09 |
| 1386241511 | Kelly Jensen | Counselor | 255 Delaware Ave Ste 3000, Buffalo, NY 14202-2016 | 2020-10-01 |
| 1538776091 | James Mcrae | Counselor | 100 N Portland Ave Rm B228, Brooklyn, NY 11205-2005 | 2020-09-29 |
| 1215544036 | Jeanette Malpica-oskowitz | Counselor | 100 N Portland Ave # B217, Brooklyn, NY 11205-2005 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGVILLE |
| Zip Code | 11738 |
Please comment or provide details below to improve the information on MR. LARRY THOMAS DONALDSON.
| 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.