MISS NICOLE TESSA WIZEL (NPI# 1497122170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497122170 |
| Entity Type | Individual |
| Full Name | MISS NICOLE TESSA WIZEL |
| Credential | PA-C |
| Practice Address |
17660 Union Tpke Suite 360 Fresh Meadows NY 11366-1526 |
| Practice Telephone | 7184602300 |
| Mailing Telephone | 7184602300 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17660 UNION TPKE SUITE 360 |
| City | FRESH MEADOWS |
| State | NY |
| Zip Code | 11366-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415420 | Gary Stuart Hirshfield | Ophthalmology | 17660 Union Tpke, Ste 110, Fresh Meadows, NY 11366-1526 | 2005-05-31 |
| 1871064402 | Stephanie Daniella O'brien | Physical Therapist | 17660 Union Tpke, Fresh Meadows, NY 11366-1526 | 2018-12-07 |
| 1942731203 | Jean Marie Quinn | Physical Therapist | 17660 Union Tpke, Suite 195, Fresh Meadows, NY 11366-1526 | 2017-03-27 |
| 1386061828 | Dennis Piana | Dentist | 17660 Union Tpke, Suite 120, Fresh Meadows, NY 11366-1526 | 2014-03-22 |
| 1780935528 | Queens Endoscopy Asc, LLC | Clinic/Center | 17660 Union Tpke, Fresh Meadows, NY 11366-1526 | 2012-09-19 |
| 1780941443 | Gilberto A Diaz | Physical Therapist | 17660 Union Tpke, Suite 195, Fresh Meadows, NY 11366-1526 | 2012-04-19 |
| 1619259348 | Jessica Schuman | Optometrist | 17660 Union Tpke, Suite 101, Fresh Meadows, NY 11366-1526 | 2011-09-20 |
| 1770812521 | Michael Thomas Regina | Physical Therapist | 17660 Union Tpke, 195, Fresh Meadows, NY 11366-1526 | 2009-12-08 |
| 1437308582 | Arlene Mazzella | Physician Assistant | 17660 Union Tpke, Suite 360, Fresh Meadows, NY 11366-1526 | 2008-09-13 |
| 1104094184 | Gary S Hirshfield Md PC | Eyewear Supplier (Equipment, not the service) | 17660 Union Tpke, Ste 110, Fresh Meadows, NY 11366-1526 | 2008-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438599 | Esther Mashaiv | Specialist/Technologist, Other | 7345 197st Flushing, New York, NY 11366 | 2018-08-27 |
| 1831615756 | Joseph Sarreal | Licensed Practical Nurse | 77-03 166 Street, Fresh Meadows, NY 11366 | 2017-08-22 |
| 1780106872 | Nadezhda Bababekova | Registered Nurse | 77-15 169st, Fresh Meadows, NY 11366 | 2017-07-11 |
| 1669902284 | Alla Roziyeva | Case Manager/Care Coordinator | 162-16 Union Turnpike, Suite 303, Fresh Meadows, NY 11366 | 2017-06-15 |
| 1568998508 | Patricia Guthrie | Technician/Technologist | 17760 Union Tpke, Suite 110, Fresh Meadows, NY 11366 | 2017-05-11 |
| 1639617384 | Elina Gavrielova | Clinical Nurse Specialist | 7531 190th Street, Fresh Meadows, NY 11366 | 2017-02-02 |
| 1164966818 | Lamisa Ahsan | Pharmacist | 186-16 Union Tunrpike, Flushing, NY 11366 | 2016-12-15 |
| 1508217027 | Huisi Wu | Case Manager/Care Coordinator | 164-19 78th Ave, Fresh Meadows, NY 11366 | 2016-06-27 |
| 1770932113 | Mary-kate Martinez | Community Health Worker | 75-02 162nd St, Fresh Meadows, NY 11366 | 2016-06-07 |
| 1366899866 | Medical Offices of Occupational Health Resources P C | Clinic/Center | Hangar 3 Room 117, Laguardia Airport, Flushing, NY 11366 | 2016-05-16 |
| Find all providers in zip 11366 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073920385 | Sunhee Kim | Physician Assistant | 17660 Union Tpke Ste 360, Fresh Meadows, NY 11366-1531 | 2014-07-18 |
| 1427216183 | Felix Loh | Physician Assistant | 176-60 Union Turnpike, Suite 360, Fresh Meadows, NY 11366-1531 | 2008-05-29 |
| 1770515827 | Melissa Layne Longley | Physician Assistant | 5916 174th St, Fresh Meadows, Fresh Meadows, NY 11365-1539 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
| City | FRESH MEADOWS |
| Zip Code | 11366 |
Please comment or provide details below to improve the information on MISS NICOLE TESSA WIZEL.
| 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.