MICHELLE PATRICIA KALLIS (NPI# 1629464045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629464045 |
| Entity Type | Individual |
| Full Name | MICHELLE PATRICIA KALLIS |
| Credential | M.D. |
| Practice Address |
270-05 76th Avenue New Hyde Park NY 11040 |
| Mailing Address |
27005 76th Ave New Hyde Park NY 11040-1402 |
| Practice Telephone | 9174480867 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
270-05 76TH AVENUE |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054659 | Craig Merola | Anesthesiology | 270-05 76th Avenue, Department of Anesthesia, New Hyde Park, NY 11040 | 2005-06-22 |
| 1124648530 | Ellen Pham | Student in an Organized Health Care Education/Training Program | 270-05 76th Avenue, Research Building C Level Room 039ab N, New Hyde Park, NY 11040 | 2020-04-26 |
| 1922637669 | Jasmin Neal | Student in an Organized Health Care Education/Training Program | 270-05 76th Avenue, Research Bldg, C Level Room 039ab, New Hyde Park, NY 11040 | 2020-04-04 |
| 1346803236 | Remi Minh Khang Le | Student in an Organized Health Care Education/Training Program | 270-05 76th Avenue, New Hyde Park, NY 11040 | 2019-04-17 |
| 1003378852 | Oliver Standring | Student in an Organized Health Care Education/Training Program | 270-05 76th Avenue, Victoria Wrathe, Research Building- C Level Room 039ab, New Hyde Park, NY 11040 | 2019-04-02 |
| 1306320080 | Tanya J Thakur | Physician Assistant | 270-05 76th Avenue, New Hyde Park, NY 11040 | 2018-09-19 |
| 1023513231 | Michael Quinn | Student in an Organized Health Care Education/Training Program | 270-05 76th Avenue, New Hyde Park, NY 11040 | 2018-03-28 |
| 1407350796 | Kristen Zaffuto | Registered Nurse | 270-05 76th Avenue, Oncology Building, New Hyde Park, NY 11040-1402 | 2018-03-21 |
| 1063950384 | Kason Wan | Physician Assistant | 270-05 76th Avenue, New Hyde Park, NY 11040-1402 | 2017-02-07 |
| 1275920720 | Jeffrey Deygoo | Student in an Organized Health Care Education/Training Program | 270-05 76th Avenue, New Hyde Park, NY 11040 | 2015-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124986 | Khyati Zala | Student in an Organized Health Care Education/Training Program | 143 South Dr, New Hyde Park, NY 11040-2232 | 2020-11-06 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1457990293 | Leah Bodh | Student in an Organized Health Care Education/Training Program | 73 Durham Rd, New Hyde Park, NY 11040-2053 | 2019-12-26 |
| 1649818782 | Brian Do | Student in an Organized Health Care Education/Training Program | 1677 New Hyde Park Dr, New Hyde Park, NY 11040-3203 | 2019-12-19 |
| 1942762075 | Michael Thomas Certa | Student in an Organized Health Care Education/Training Program | 101 Wilton St, New Hyde Park, NY 11040-3806 | 2019-04-06 |
| 1881155893 | James Thomas | Student in an Organized Health Care Education/Training Program | 41 7th St, New Hyde Park, NY 11040-4132 | 2019-03-31 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| 1851852792 | Omari Christie | Student in an Organized Health Care Education/Training Program | 27005 76th Ave Bldg C, New Hyde Park, NY 11040-1402 | 2019-03-25 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
Please comment or provide details below to improve the information on MICHELLE PATRICIA KALLIS.
| 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.