DR. GIZELDA TARDIN BONAMICHI CASELLA (NPI# 1548403108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548403108 |
| Entity Type | Individual |
| Full Name | DR. GIZELDA TARDIN BONAMICHI CASELLA |
| Credential | M.D. PH.D. |
| Practice Address |
750 E Adams St Syracuse NY 13210-2306 |
| Practice Telephone | 3154648200 |
| Practice Fax Number | 3154648201 |
| Mailing Telephone | 3154648200 |
| Mailing Fax Number | 3154648201 |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2018-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 276120 | NY | Allopathic & Osteopathic Physicians |
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
276120 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03914481 | 05 |
| Street Address |
750 E ADAMS ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922003193 | Aqeel A Sandhu | Specialist | 750 E Adams St, Syracuse, NY 13210-2306 | 2005-06-15 |
| 1770183972 | Subhashree Dasgupta | Speech-Language Pathologist | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-10-27 |
| 1841890118 | Danielle Coniglio Gonzalez | Physical Medicine & Rehabilitation | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-10-27 |
| 1497353858 | Kayleigh M Gifford | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-10-16 |
| 1578160891 | Steven Lounsbury | Physical Therapist | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-10-09 |
| 1306453295 | Sarah Persons | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-09-25 |
| 1356956270 | Carlo Manalo Dangcalan | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-09-09 |
| 1104430396 | Rida Sherwani | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-09-03 |
| 1003420803 | Michel Tawil | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-08-31 |
| 1669085056 | Komal Syeda | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-08-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871846683 | Integrated Pain and Rehabilitation Solutions, Pllc | Physical Medicine & Rehabilitation | 29 Sycamore Ln, Commack, NY 11725-2329 | 2012-10-17 |
| 1912221680 | Pappas Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 3135 31st St, Astoria, NY 11106-2530 | 2010-03-24 |
| 1477589471 | Tahir M Qazi | Physical Medicine & Rehabilitation | 80 Mead St, North Tonawanda, NY 14120-4435 | 2006-06-23 |
| 1063455202 | Jaishree Capoor | Physical Medicine & Rehabilitation | 94-25 59th Avenue, Unit F7, Elmhurst, NY 11373 | 2006-06-14 |
| 1477505667 | Bojun Chen | Physical Medicine & Rehabilitation | 13237 41st Rd, Room 103, Flushing, NY 11355-4242 | 2006-05-16 |
| 1770580862 | Inocencia Carrano | Physical Medicine & Rehabilitation | 60 Dunning Rd, Middletown, NY 10940-2215 | 2005-07-05 |
| 1508288234 | Tarrytown Medical Injury Care Pllc | Physical Medicine & Rehabilitation | 102 S Broadway, Tarrytown, NY 10591-4006 | 2014-01-15 |
| 1437319001 | Vincent Huang | Physical Medicine & Rehabilitation | 77 Jackson Ave, Scarsdale, NY 10583-3140 | 2008-06-16 |
| 1588824544 | Sharmatie Lal | Physical Medicine & Rehabilitation | 301 E Main St, Bay Shore, NY 11706-8408 | 2008-06-12 |
| 1295994531 | Lisa Marie Ruppert | Physical Medicine & Rehabilitation | 515 Madison Ave, 5th Floor, New York, NY 10022-5403 | 2008-06-02 |
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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.