MS. DARA BRUCKNER (NPI# 1568780179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568780179 |
| Entity Type | Individual |
| Full Name | MS. DARA BRUCKNER |
| Credential | RPAC |
| Practice Address |
17 Brokaw Lane Great Neck NY 11023 |
| Practice Telephone | 5165518827 |
| Mailing Telephone | 5165518827 |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 013953 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17 BROKAW LANE |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355581 | Jennifer Cain | Psychologist | 310 East Shore Rd. Suite 100, Great Neck, NY 11023 | 2019-03-13 |
| 1609346774 | Othniel Physical Therapy PC | Physical Therapist | 444 Middleneck Rd, Suite 1h, Greatneck, NY 11023 | 2018-11-30 |
| 1720403215 | Jason Li | Pharmacist | 125 Maple Street, Great Neck, NY 11023 | 2014-02-20 |
| 1356772156 | Eliian Ramezani | Physical Therapist | 444 Middle Neck Rd Apt 1h, Great Neck, NY 11023 | 2013-12-03 |
| 1710222625 | Jason Sonbolian | Registered Nurse | 22 Chadwick Road, Great Neck, NY 11023 | 2012-12-04 |
| 1659672020 | Marni Rebecca Weinberg | Speech-Language Pathologist | 15 Hutchinson Court, Great Neck, NY 11023 | 2010-11-16 |
| 1205070778 | Rachel Lee Klerer-axelrod | Physical Therapist | 76 Berkshire Road, Great Neck, NY 11023 | 2009-04-28 |
| 1336306455 | Lorrell Heather Zegarelli | Specialist/Technologist | 90 East Shore Road Inside Equinox, Professional Orthopedic and Sports Physical Therapy, Great Neck, NY 11023 | 2008-05-16 |
| 1841471158 | Heikyung Uh | Pharmacist | 152-154 Middle Neck Road, Great Neck, NY 11023 | 2007-11-15 |
| 1912198342 | Great Neck Occupational Therapy | Occupational Therapist | 299 East Shore Road, Suite 201, Great Neck, NY 11023 | 2007-08-09 |
| Find all providers in zip 11023 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376177428 | Misagh Fasazadeh | Physician Assistant | 140 S Middle Neck Rd Apt 2e, Great Neck, NY 11021-3738 | 2020-02-27 |
| 1639530462 | Janet Hebroni | Physician Assistant | 15 North Rd, Great Neck, NY 11024-1933 | 2016-03-07 |
| 1063815942 | Peri Santodonato | Physician Assistant | 5 Imperial Ct, Great Neck, NY 11023-2240 | 2014-10-06 |
| 1952653248 | Keri Bianco | Physician Assistant | Northwell Health Orthopaedic Institute, 611 Northern Boulevard, Suite 200, Great Neck, NY 11021-5208 | 2012-10-10 |
| 1518254325 | Kevin Patrick Rooney | Physician Assistant | 900 Northern Blvd Ste 230, Great Neck, NY 11021-5302 | 2011-06-30 |
| 1336431576 | Ronit Shabtian | Physician Assistant | 5 Robin Way, Great Neck, NY 11021 | 2011-05-05 |
| 1336431535 | Yasaman Chadi | Physician Assistant | 90 Knightsbridge Rd, Great Neck, NY 11021-4546 | 2011-05-05 |
| 1972769578 | Lauren Taylor Tedesco | Physician Assistant | 611 Northern Blvd., Great Neck, NY 11021 | 2008-08-03 |
| 1053576660 | Ghazaleh Yasmeh | Physician Assistant | 60 Knights Bridge Rd, Apt# 1d, Great Neck, NY 11021 | 2008-07-23 |
| 1922167121 | Filomena Abitino | Physician Assistant | 11 Grace Avenue Ste 100, Bodian Dermatology Group, Great Neck, NY 11021 | 2006-12-06 |
| Find all providers in GREAT NECK | ||||
| City | GREAT NECK |
| Zip Code | 11023 |
Please comment or provide details below to improve the information on MS. DARA BRUCKNER.
| 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.