DORR DUANE PULVER (NPI# 1568832939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568832939 |
Entity Type | Individual |
Full Name | DORR DUANE PULVER |
Credential | CASAC |
Practice Address |
5700 W Genesee St Suite 118 Camillus NY 13031-3200 |
Mailing Address |
2286 Clark Hollow Rd La Fayette NY 13084-9566 |
Practice Telephone | 3154881641 |
Practice Fax Number | 3154881655 |
Mailing Telephone | 3154881641 |
Mailing Fax Number | 3154881655 |
Enumeration Date | 2015-09-29 |
Last Update Date | 2015-09-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18695 | NY | Behavioral Health & Social Service Providers |
Street Address |
5700 W GENESEE ST SUITE 118 |
City | CAMILLUS |
State | NY |
Zip Code | 13031-3200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134122096 | Mark S Potenza | Surgery | 5700 W Genesee St, Ste 132, Camillus, NY 13031-3212 | 2005-05-24 |
1922622299 | Stacy Sturdevant | Counselor | 5700 W Genesee St, Camillus, NY 13031-3200 | 2020-06-03 |
1518414796 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 5700 W Genesee St, Suite 103, Camillus, NY 13031-3200 | 2016-09-06 |
1225498298 | Darby Mckenney Anderson | Counselor | 5700 W Genesee St, Suite 118, Camillus, NY 13031-3200 | 2016-03-03 |
1144695123 | Robin Meredith Greenberg | Physical Therapist | 5700 W Genesee St, Suite 2s, Camillus, NY 13031-3200 | 2015-12-02 |
1184009805 | Connected Counseling of Cny | Clinic/Center | 5700 W Genesee St, Suite 124, Camillus, NY 13031-3200 | 2015-07-23 |
1902202864 | Hear Better Centers, LLC | Audiologist | 5700 W Genesee St, Suite 210, Camillus, NY 13031-3200 | 2014-11-05 |
1396144853 | Angela Monico | Counselor | 5700 W Genesee St, Suite 118, Camillus, NY 13031-3200 | 2014-08-20 |
1700293743 | Kevin W Thomas Md Neurology Pllc | Psychiatry & Neurology | 5700 W Genesee St, Ste 124, Camillus, NY 13031-3200 | 2014-07-22 |
1750711271 | Linda Vincent Riker | Registered Nurse | 5700 W Genesee St, Ste 118, Camillus, NY 13031-3200 | 2013-11-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194361337 | Marsha Reedy | Registered Nurse | Baldwinsville Schools, 29 East Oneida Street, Baldwinsville, NY 13031 | 2019-11-22 |
1821632167 | Romans Soltani Dentistry, Pllc | Dentist | 5426 W. Genesee Street, Camillus, NY 13031 | 2019-10-30 |
1174178859 | Abigail Marie Brunner | Nurse Practitioner | 208 Township Blvd, Suite 100, Camillus, NY 13031 | 2019-08-08 |
1649779547 | Claire Isaacson | Counselor | 6000 W Genesee St Ste 400, Camillus, NY 13031 | 2018-02-06 |
1811426190 | At Home Independent Living, Inc. | In Home Supportive Care | 4464 Milton Ave, Syracuse, NY 13031 | 2017-06-08 |
1548643471 | Podiatry Services of Central New York, PC | Podiatrist | 4912 West Genesee Street, Camillus, NY 13031 | 2015-07-09 |
1023497203 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 5417 West Genesee Street, Suite 1, Camillus, NY 13031 | 2015-05-21 |
1194130377 | Costco Wholesale Corporation | Pharmacy | 120 Township Blvd, Camillus, NY 13031 | 2014-06-25 |
1487084976 | Todd Ray | Social Worker | 6000 W Genesee St, Camillus, NY 13031 | 2013-11-19 |
1093045155 | Rebecca Mae Goal Carroll | Physical Therapist | 5417 W Genesee St, Camillus, NY 13031 | 2010-01-12 |
Find all providers in zip 13031 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932280708 | Susan May Bachorik | Counselor | 5700 W. Genesee St, Suite 118, Camillus, NY 13031 | 2006-10-18 |
1225498298 | Darby Mckenney Anderson | Counselor | 5700 W Genesee St, Suite 118, Camillus, NY 13031-3200 | 2016-03-03 |
1396144853 | Angela Monico | Counselor | 5700 W Genesee St, Suite 118, Camillus, NY 13031-3200 | 2014-08-20 |
1437391455 | Paul Sheridan Riker | Counselor | 5700 W Genesee St, Suite 118, Camillus, NY 13031-3200 | 2009-04-06 |
1962591917 | Pamela Lynn Herbert | Counselor | 5700 W Genesee St, Suite 118, Camillus, NY 13031-3200 | 2006-10-11 |
1558450502 | Patricia Anne Lane | Counselor | 5700 W Genesee St, Suite 118, Camillus, NY 13031-3200 | 2006-10-11 |
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1386245595 | Liliana Maria Calle | Counselor | 1510 Waters Pl Fl 2, Bronx, NY 10461-2700 | 2020-11-04 |
1245831528 | Multi Assistance Resource Centers Inc. | Counselor | 509 Willis Ave Fl 4, Bronx, NY 10455-4001 | 2020-11-04 |
1952902371 | Brandon Chevere | Counselor | 175 Remsen St Fl 9, Brooklyn, NY 11201-4333 | 2020-11-03 |
1619577541 | Josselyn D Carias-rodriguez | Counselor | 90 Cherry Ln, Hicksville, NY 11801-6232 | 2020-10-29 |
1275133688 | Carol Hunt | Counselor | 76 Humboldt Pkwy, Buffalo, NY 14214-2605 | 2020-10-27 |
1598363806 | Anabel Lago-pedrick | Counselor | 539 County Road 40, Maplecrest, NY 12454-1245 | 2020-10-09 |
1386241511 | Kelly Jensen | Counselor | 255 Delaware Ave Ste 3000, Buffalo, NY 14202-2016 | 2020-10-01 |
1538776091 | James Mcrae | Counselor | 100 N Portland Ave Rm B228, Brooklyn, NY 11205-2005 | 2020-09-29 |
1215544036 | Jeanette Malpica-oskowitz | Counselor | 100 N Portland Ave # B217, Brooklyn, NY 11205-2005 | 2020-09-25 |
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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.