MR. AUBREY WILSON (NPI# 1518918861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518918861 |
| Entity Type | Individual |
| Full Name | MR. AUBREY WILSON |
| Credential | LMT |
| Practice Address |
2805 Veterans Memorial Hwy Suite 8 Ronkonkoma NY 11779-7647 |
| Practice Telephone | 6317388300 |
| Practice Fax Number | 6317388500 |
| Mailing Telephone | 6317388300 |
| Mailing Fax Number | 6317388500 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 010875 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851635551 | Aubrey L Wilson | Occupational Therapist | 524 School St Apt 2, Berwick, ME 03901-2876 | 2012-11-19 |
| 1457847451 | Aubrey Linn Wilson | Optometrist | 8212 N Lindbergh Blvd, Florissant, MO 63031-7107 | 2018-07-03 |
| 1982058723 | Aubrey Wilson | Social Worker | 707 N Cardinal Dr Ste 7, Mountain Home, AR 72653-3274 | 2016-04-18 |
| 1629348214 | Aubrey Lenore Wilson | Physician Assistant | 100 S 10th St, Lillington, NC 27546-6690 | 2012-01-12 |
| Street Address |
2805 VETERANS MEMORIAL HWY SUITE 8 |
| City | RONKONKOMA |
| State | NY |
| Zip Code | 11779-7647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395826 | Modesto Fontanez | Neurological Surgery | 2805 Veterans Memorial Hwy, Suite 8, Ronkonkoma, NY 11779-7647 | 2005-06-08 |
| 1164971297 | Structure Pro Chiropractic P.C. | Chiropractor | 2805 Veterans Memorial Hwy, #8, Ronkonkoma, NY 11779-7647 | 2016-09-30 |
| 1114317328 | Connetquot Chiropractic | Chiropractor | 2805 Veterans Memorial Hwy, Suite 8, Ronkonkoma, NY 11779-7647 | 2015-01-26 |
| 1285033662 | Jordan Sudberg Md P.C. | Physical Medicine & Rehabilitation | 2805 Veterans Memorial Hwy, Suite 8, Ronkonkoma, NY 11779-7647 | 2014-08-21 |
| 1639584543 | Long Island Neurological, PC | Specialist | 2805 Veterans Memorial Hwy, Suite 8, Ronkonkoma, NY 11779-7647 | 2014-06-30 |
| 1346673126 | Focus Rx Pharmacy Services Inc | Pharmacy | 2805 Veterans Memorial Hwy, Suites 19-22, Ronkonkoma, NY 11779-7647 | 2013-08-15 |
| 1942567235 | John Wallman | Chiropractor | 2805 Veterans Memorial Hwy, Ste 8, Ronkonkoma, NY 11779-7680 | 2012-04-12 |
| 1073813770 | Island Neurology PC | Specialist | 2805 Veterans Memorial Hwy, Suite 9, Ronkonkoma, NY 11779-7647 | 2010-10-27 |
| 1235380031 | United Rehab Physical Therapy P.C. | Physical Therapist | 2805 Veterans Memorial Hwy, Suite # 9, Ronkonkoma, NY 11779-7647 | 2008-10-10 |
| 1568618460 | Karlyn Taylor Nafey | Physician Assistant | 2805 Veterans Memorial Hwy, Ronkonkoma, NY 11779-7647 | 2008-08-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750929139 | Sebastian Godinez | Student in an Organized Health Care Education/Training Program | 11 First Street, Ronkonkoma, NY 11779 | 2019-12-16 |
| 1487149860 | John Deming | Student in an Organized Health Care Education/Training Program | 142 - 02 20th Avenue, Flushing, NY 11779 | 2018-06-27 |
| 1376060392 | Janine D'annunzio | Specialist | 316 Thirft Street, Ronkonkoma, NY 11779 | 2017-08-30 |
| 1932621935 | Vincent Joseph Lopreto | Counselor | 253 Lake Shore Road, Ronkonkoma, NY 11779 | 2017-07-11 |
| 1598295271 | Dalas Taddeo | Licensed Practical Nurse | 4490 Express Drive S, Ronkonkoma, NY 11779 | 2017-06-15 |
| 1790214112 | Pamela Ferrante | Social Worker | 131 Avenue D, Ronkonkoma, NY 11779 | 2017-06-08 |
| 1255868915 | Bari Home Care LLC | Health Maintenance Organization | 4417 Express Drive North, Ronkonkoma, NY 11779 | 2017-05-12 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1831552025 | Jacqueline Galdamez | Social Worker | 979 Johnson Avenue, Ronkonkoma, NY 11779 | 2016-04-04 |
| 1891192530 | Alex Mitchell Pollack | Massage Therapist | 34 Richmond Blvd, #3a, Ronkonkoma, NY 11779 | 2014-11-24 |
| Find all providers in zip 11779 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322705 | Ashley Trinidad | Massage Therapist | 8 Garden Ct, Ronkonkoma, NY 11779-6111 | 2020-06-26 |
| 1437646072 | Magic Hands, LLC | Massage Therapist | 2805 Veterans Memorial Hwy Ste 10, Ronkonkoma, NY 11779-7680 | 2018-04-19 |
| 1891192530 | Alex Mitchell Pollack | Massage Therapist | 34 Richmond Blvd, #3a, Ronkonkoma, NY 11779 | 2014-11-24 |
| 1295030575 | Nicole L Libschik | Massage Therapist | 211 Deer Rd, Ronkonkoma, NY 11779-4801 | 2011-01-18 |
| 1407465156 | Debra Ann Grimes | Massage Therapist | 3075 Veterans Memorial Hwy Ste 101, Ronkonkoma, NY 11779-7600 | 2020-07-29 |
| 1750933859 | Katherine Ilharregui | Massage Therapist | 2805 Veterans Memorial Hwy Ste 8, Ronkonkoma, NY 11779-7680 | 2019-07-10 |
| 1780242735 | Michelle Rebecca Gomes | Massage Therapist | 500 Portion Rd, Ronkonkoma, NY 11779-4587 | 2019-06-04 |
| 1457824856 | Rachel Dorfman | Massage Therapist | 2805 Veterans Memorial Hwy Ste 8, Ronkonkoma, NY 11779-7680 | 2019-01-08 |
| 1740670561 | Barbara Perez | Massage Therapist | 879 Johnson Ave, Ronkonkoma, NY 11779-6081 | 2015-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861354 | Stephen Quinn | Massage Therapist | 72 Steuben Rd, Garrison, NY 10524-7417 | 2020-11-06 |
| 1750982567 | Moises Payero | Massage Therapist | 407 Beach 20th St Apt 3b, Far Rockaway, NY 11691-3638 | 2020-11-06 |
| 1447851589 | Emily Nicole Bagnasco | Massage Therapist | 827 S 5th St, Lindenhurst, NY 11757-5625 | 2020-11-04 |
| 1053912162 | Chanel Marie Poole | Massage Therapist | 1234 Abbott Rd Ste 230, Lackawanna, NY 14218-1946 | 2020-11-04 |
| 1144821562 | Deping Song | Massage Therapist | 4002 Bowne St, #228, Flushing, NY 11354-6142 | 2020-11-03 |
| 1881295400 | Yoshiko Yamamoto | Massage Therapist | 4914 43rd Ave Apt 3, Woodside, NY 11377-4598 | 2020-11-02 |
| 1780285254 | Devante Quareed Thompson | Massage Therapist | 8944 Metropolitan Ave # 89-44, Rego Park, NY 11374-5331 | 2020-11-02 |
| 1396345062 | Amy Nadine Baker | Massage Therapist | 611 Broadway Rm 814, New York, NY 10012-0032 | 2020-10-30 |
| 1972102655 | Maria Carmen Tapia | Massage Therapist | 14749 72nd Dr Apt 3d, Flushing, NY 11367-2533 | 2020-10-22 |
| 1346849262 | Reddy for Acupuncture | Massage Therapist | 2807 Merrick Rd, Bellmore, NY 11710-5724 | 2020-10-21 |
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| City | RONKONKOMA |
| Zip Code | 11779 |
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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.