STANKO RODIC (NPI# 1477626703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477626703 |
| Entity Type | Individual |
| Full Name | STANKO RODIC |
| Credential | MD |
| Practice Address |
2 Coulter Road Behavioral Health Clifton Springs NY 14432 |
| Mailing Address |
2 Coulter Road Clifton Springs Hospital & Clinic Attn Med Staff Off Clifton Springs NY 14432 |
| Practice Telephone | 3154621465 |
| Practice Fax Number | 3154620145 |
| Mailing Telephone | 3154621464 |
| Mailing Fax Number | 3154622487 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
125644 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
2 COULTER ROAD BEHAVIORAL HEALTH |
| City | CLIFTON SPRINGS |
| State | NY |
| Zip Code | 14432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154358950 | Frank John Edwards | Emergency Medicine | 2 Coulter Road, Clifton Springs, NY 14432-1122 | 2006-06-27 |
| 1831559970 | Tina Zapetis | Social Worker | 2 Coulter Road, Outpatient Behavioral Health- Woodbury 1, Clifton Springs, NY 14332 | 2016-03-02 |
| 1053432500 | Robert L Solberg | Emergency Medicine | 2 Coulter Road, Clifton Springs Hospital, Clifton Springs, NY 14432 | 2007-04-03 |
| 1891850152 | Clifton Springs Sanitarium Co | Skilled Nursing Facility | 2 Coulter Road, Clifton Springs, NY 14432-1122 | 2006-12-27 |
| 1275621153 | Douglas W Bowerman | Internal Medicine | 2 Coulter Road, Clifton Springs, NY 14432 | 2006-10-10 |
| 1780798637 | Shahana Arshad | Internal Medicine | 2 Coulter Road, Clifton Springs, NY 14432 | 2006-08-18 |
| 1497761431 | Suzamie Jo Farnsworth | Internal Medicine | 2 Coulter Road, Clifton Springs, NY 14432 | 2006-07-31 |
| 1154337194 | Arbind Das | Emergency Medicine | 2 Coulter Road, Emergency Department, Clifton Springs, NY 14432 | 2006-07-31 |
| 1831105899 | John C Marino | Psychiatry & Neurology | 2 Coulter Road, Behavioral Health, Clifton Springs, NY 14432 | 2006-07-31 |
| 1356357313 | J Diane West | Emergency Medicine | 2 Coulter Road, Emergency Department, Clifton Springs, NY 14432 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982035259 | David Roemer | Psychiatry & Neurology | 28 E Main Street, Clifton Springs, NY 14432 | 2013-12-11 |
| 1477821122 | Margaret Lewis Carlson | Registered Nurse | 1510 Rt 488, Clifton Springs, NY 14432 | 2011-12-09 |
| 1063698769 | Debra J Gates | Nurse Practitioner | Rrhs Clifton Springs Hospital and Clinic - Endocrine, 2 Coulter Rd, Clifton Springs, NY 14432 | 2008-01-14 |
| 1154457042 | Elaine M. Allen | Massage Therapist | 31 Pleasant Street, Clifton Springs, NY 14432 | 2007-02-26 |
| 1568514271 | Tracy Ford | Physical Therapist | 440 Clifton Springs Professional Park, Clifton Springs, NY 14432 | 2007-01-16 |
| 1265482400 | Lynn M Sievert | Internal Medicine | 6 Ambulance Drive, Clifton Springs, NY 14432 | 2006-05-10 |
| 1376531590 | Ileana Hernandez | Internal Medicine | 2 Coulter Rd, Clifton Springs, NY 14432 | 2005-10-11 |
| 1366434011 | Finger Lakes Area Counseling and Recovery Agency, Inc. | Clinic/Center | 28 E Main St, Clifton Springs, NY 14432 | 2005-08-18 |
| 1104483858 | Mara Elizabeth Schroeder | Physician Assistant | 2 Coulter Rd, Clifton Springs, NY 14432 | 2019-05-28 |
| 1972024602 | Andrea L Nichols | Specialist/Technologist, Other | 210 Clifton Springs Professional Park, Clifton Springs, NY 14432 | 2017-07-03 |
| Find all providers in zip 14432 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477196236 | Midtown Applied Medicine,pc | Psychiatry & Neurology | 244 5th Avenu, Ste 2095, Ste 2095, New York, NY 10001 | 2019-10-24 |
| 1285276378 | Nesconset Medical Associates Pllc | Psychiatry & Neurology | 195 Southern Blvd Ste 104, Nesconset, NY 11767-1738 | 2019-10-10 |
| 1629534474 | Priyadarshan Bajpayi, M.d. PC | Psychiatry & Neurology | 5550 Merrick Rd Ste 200, Massapequa, NY 11758-6238 | 2019-02-18 |
| 1912417106 | Miguel Calimano Md PC | Psychiatry & Neurology | 88 Terry Rd # 7, Smithtown, NY 11787-3811 | 2017-10-03 |
| 1326432238 | Kamehameha Health and Wellness Nonprofit Corporation | Psychiatry & Neurology | 3250 Weschester Avenue, Suite Ll4, Bronx, NY 10461-4548 | 2015-03-28 |
| 1518229400 | Leila Mariam Vaezazizi | Psychiatry & Neurology | 260 E 161st St # C-33, Bronx, NY 10451-3512 | 2012-06-15 |
| 1447529474 | New York Center of Addiction LLC | Psychiatry & Neurology | 506 Willis Avenue, 7th Floor, Bronx, NY 10455 | 2011-12-20 |
| 1750691457 | Apollo Neale Palomares | Psychiatry & Neurology | 78 Lafayette Ave Ste 100, Suffern, NY 10901-5551 | 2010-10-14 |
| 1144534975 | Abha Gupta | Psychiatry & Neurology | 197 Bowery, New York, NY 10002-2867 | 2010-08-04 |
| 1427379932 | Bay Shore Medical Services, P.C. | Psychiatry & Neurology | 56 W Main St # A, Bay Shore, NY 11706-8327 | 2010-06-18 |
| Find all providers with the same taxonomy | ||||
| City | CLIFTON SPRINGS |
| Zip Code | 14432 |
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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.