MR. ROBERTO C DIMAMBRO (NPI# 1457796146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457796146 |
| Entity Type | Individual |
| Full Name | MR. ROBERTO C DIMAMBRO |
| Credential | CASAC |
| Practice Address |
1724 5th Ave Troy NY 12180-3320 |
| Mailing Address |
25 Sullivan Ln Argyle NY 12809-1102 |
| Practice Telephone | 5186877739 |
| Practice Fax Number | 5182722149 |
| Mailing Telephone | 5186929882 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
12213 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1724 5TH AVE |
| City | TROY |
| State | NY |
| Zip Code | 12180-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851452767 | Hudson Mohawk Recovery Center | Rehabilitation, Substance Use Disorder Unit | 1724 5th Ave, Troy, NY 12180-3320 | 2006-12-13 |
| 1275082562 | Hudson Mohawk Recovery Center Inc | Clinic/Center | 1724 5th Ave, Troy, NY 12180-3541 | 2016-09-27 |
| 1780018200 | Samantha Ste.marie | Counselor | 1724 5th Ave, Troy, NY 12180-3320 | 2013-09-03 |
| 1114359007 | Douglas Handy | Counselor | 1724 5th Ave, Troy, NY 12180-3320 | 2013-08-02 |
| 1568808087 | Toni M Cochis | Counselor | 1724 5th Ave, Troy, NY 12180-3320 | 2013-05-13 |
| 1174969539 | Lauren Kelly | Counselor | 1724 5th Ave, Troy, NY 12180-3320 | 2013-05-13 |
| 1942645551 | Sarah E Mcclane | Counselor | 1724 5th Ave, Troy, NY 12180-3320 | 2013-05-09 |
| 1528403102 | Irectorhudson Mohawk Recovery Center | Community/Behavioral Health | 1724 5th Ave, Troy, NY 12180-3320 | 2013-05-08 |
| 1114289972 | Mary Ann Laverty | Counselor | 1724 5th Ave, Troy, NY 12180-3320 | 2012-06-07 |
| 1184832776 | Craig William Stratton | Counselor | 1724 5th Ave, Troy, NY 12180-3320 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
| 1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
| 1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
| Find all providers in zip 12180 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447742580 | Rebecca Jane Stros | Counselor | 900 Tower Dr, Troy, MI 48098 | 2018-06-05 |
| 1861903858 | Anew Perspective, Inc. | Counselor | 9 Maplebrooke Ct, Troy, IL 62294-2544 | 2017-10-17 |
| 1720448665 | Milestone Recovery Services LLC | Counselor | 225 N Main St # B, Troy, NC 27371-3061 | 2016-03-04 |
| 1679811855 | Jessica A Bennett | Counselor | 888 W Big Beaver Rd Ste 780, Troy, MI 48084-4745 | 2013-01-23 |
| 1942593124 | Taisiya Tess Larina | Counselor | 1801 6th Avenue, Continuing Treatment Services, Troy, NY 12180-3440 | 2011-05-23 |
| 1598054587 | Janice Ann Mills | Counselor | 1385 Creech School Road, Troy, MO 63379 | 2011-03-31 |
| 1194966176 | Eileen C Becker | Counselor | 1059 N. Market Street, Troy, OH 45373-1337 | 2009-03-20 |
| 1720237662 | Emily Sigel | Counselor | 16 1st St., Troy, NY 12180-3802 | 2008-09-16 |
| 1760631154 | David A Lorenzo | Counselor | 16 1st St, Troy, NY 12180-3802 | 2008-09-10 |
| 1093803322 | Edward J Witte | Counselor | 315 Public Sq, 209, Troy, OH 45373-5202 | 2006-10-11 |
| Find all providers in TROY | ||||
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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.