MS. LAURA KATHRYN DAME


Address: 408 W 14th St, Suite 201, New York, NY 10014-1042
Phone: 2125300639

MS. LAURA KATHRYN DAME (NPI# 1588954952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588954952
Entity Type Individual
Full Name MS. LAURA KATHRYN DAME
Credential CRNP
Practice Address 408 W 14th St
Suite 201
New York
NY 10014-1042
Practice Telephone 2125300639
Practice Fax Number 2128674353
Mailing Telephone 2125300639
Mailing Fax Number 2128674353
Enumeration Date 2011-04-19
Last Update Date 2019-11-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
SP010499 PA Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
340588 NY Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
SP013326 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA GATEWAY MEDICARE ASSURED 1602800 01
PA HIGHMARK BLUE SHIELD - FREEDOM BLUE 2673428 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
111 S Front St, Harrisburg, PA 171012010 7177823380 7177825716

Office Location

Street Address 408 W 14TH ST
SUITE 201
City NEW YORK
State NY
Zip Code 10014-1042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710921911 Joseph John Arcuri Jr. Internal Medicine 408 W 14th St, Suite 201, New York, NY 10014-1042 2006-06-16
1497125926 Navya Mohan Mysore Family Medicine 408 W 14th St, Suite 201, New York, NY 10014-1042 2015-09-26
1982030979 Lindsay Ennis Physician Assistant 408 W 14th St, Suite 201, New York, NY 10014-1042 2013-09-23
1104113521 Noah P Canlas Family Medicine 408 W 14th St, Suite 201, New York, NY 10014-1042 2011-07-06
1922398874 Alexandra Catherine Sowa Internal Medicine 408 W 14th St, Suite 201, New York, NY 10014-1042 2011-04-12
1710205521 Stephanie Samuels Physician Assistant 408 W 14th St, Suite 201, New York, NY 10014-1042 2010-05-04
1558699736 Seanna Marie Sifflet Acupuncturist 408 W 14th St, Suite 201, New York, NY 10014-1042 2009-11-25
1508094814 Vivek Kumar Garg Internal Medicine 408 W 14th St, Suite 201, New York, NY 10014-1042 2009-06-25
1891958211 Allison Fox Family Medicine 408 W 14th St, Suite 201, New York, NY 10014-1042 2008-07-07
1265691281 Andrew Michael Feda Internal Medicine 408 W 14th St, Suite 201, New York, NY 10014-1042 2008-06-05
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NPI Name Taxonomy Address Enumeration
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1831633965 Carol Bonhomme Speech-Language Pathologist 250 West Houston Street, 721m, New York, NY 10014 2016-12-08
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1255734471 Chavie E Lichtenberg Counselor 165 Christopher St Apt 4n, New York, NY 10014 2014-10-01
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1730467739 Rosy Charles Licensed Practical Nurse 201 Varick Street, New York, NY 10014 2011-07-26
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10014

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Dataset Information

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.

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