ITAV - NURSE PRACTITIONER FAMILY HEALTH PLLC (NPI# 1588205025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588205025 |
| Entity Type | Organization |
| Organization Name | ITAV - NURSE PRACTITIONER FAMILY HEALTH PLLC |
| Practice Address |
695 Marconi Blvd #436 Copiague NY 11726 |
| Practice Telephone | 6319263025 |
| Mailing Telephone | 6319263025 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |
| Authorized Official Name | TIA KNIGHT-FORBES (NURSE PRACTITIONER - OWNER) |
| Authorized Official Telephone | 6319263025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04391640 | 05 |
| Street Address |
695 MARCONI BLVD #436 |
| City | COPIAGUE |
| State | NY |
| Zip Code | 11726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144705005 | Lauren Lauria-urquhart | Licensed Practical Nurse | 27 East Gate, Copiague, NY 11726 | 2018-09-26 |
| 1295215929 | Adero Gaudin | Registered Nurse | 162 Cedar Court, Copiague, NY 11726 | 2018-08-21 |
| 1255838470 | Jasmine Nichole Walker | Behavioral Analyst | 70 Wartburg Ave, Copiague, NY 11726 | 2018-04-13 |
| 1275080764 | Jennifer Lindner | Specialist | 40 Shore Drive W, Copiague, NY 11726 | 2016-09-01 |
| 1417403627 | Alexa Aragona | Specialist | 95 Abbington Ct, Copiague, NY 11726 | 2016-08-28 |
| 1396102091 | Federation of Organizations for The New York State for The Mentally Di | Counselor | 1375 Akron St, Copiague, NY 11726 | 2016-01-26 |
| 1992060560 | Jolie Dichter | Psychologist | 1100 Dixon Avenue, Copiague High School, Copiague, NY 11726 | 2012-07-10 |
| 1972897452 | Elaine James | Licensed Practical Nurse | 58-34 Street, Copiague, NY 11726 | 2011-06-02 |
| 1710131719 | Malgorzata Na Kopec | Dentist | 1635 Great Neck Road, Copiague, NY 11726 | 2008-11-05 |
| 1790946242 | Klyde Stuckey Hunter-epps | Social Worker | 1855 Union Boulevard, Suite A, Bayshore, NY 11726 | 2008-06-18 |
| Find all providers in zip 11726 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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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.