DR. VIMLA P. VADHAN (NPI# 1659407211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659407211 |
| Entity Type | Individual |
| Full Name | DR. VIMLA P. VADHAN |
| Credential | PH.D. |
| Practice Address |
1 Long Beach Road Bayview Nursing Home Island Park NY 11558 |
| Mailing Address |
144 Grove Ave Cedarhurst NY 11516-2315 |
| Practice Telephone | 5164320300 |
| Mailing Telephone | 5167910111 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2010-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
013260 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01808406 | 05 |
| Street Address |
1 LONG BEACH ROAD BAYVIEW NURSING HOME |
| City | ISLAND PARK |
| State | NY |
| Zip Code | 11558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316403249 | Maria Digennaro | Specialist | 133 Jefferson Ave, Island Park, NY 11558 | 2019-02-15 |
| 1376925255 | Jeremy Todd | Chiropractor | 4454 Austin Bvld, Island Park, NY 11558 | 2015-06-26 |
| 1538349816 | Barry J Goodman Dc PC | Chiropractor | 156 Long Beach Road, Island Park, NY 11558 | 2007-11-05 |
| 1154535748 | Sheila Peck | Social Worker | 1010 California Pl S, Island Park, NY 11558 | 2007-05-10 |
| 1184633604 | James Vincent Thorne | Dentist | 175 Hamilton Ave, Island Park, NY 11558 | 2006-08-05 |
| 1013980630 | Steven L Prince | Podiatrist | 78 Marina Rd, Island Park, NY 11558-1007 | 2006-02-13 |
| 1154872265 | Abby Etta Winderman | Behavior Technician | 95 Ostend Rd, Island Park, NY 11558-1016 | 2016-10-24 |
| 1407136351 | Jeffrey Peter Goldstein | Physical Therapist | 33 Redfield Rd, Island Park, NY 11558-1018 | 2011-08-24 |
| 1386967032 | Virginia Lee Davis | Speech-Language Pathologist | 49 Redfield Rd., Island Park, NY 11558-1018 | 2010-03-10 |
| 1902452170 | Nicole Bonelli | Licensed Practical Nurse | 99 Waterford Rd, Island Park, NY 11558-1023 | 2019-08-14 |
| Find all providers in zip 11558 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346060 | Alexandra Hittman | Psychologist | 26 Palisade St, Dobbs Ferry, NY 10522-2107 | 2020-11-07 |
| 1184225849 | Linda L Street | Psychologist | 165 Saint Regis Dr, Massapequa Park, NY 11762-3454 | 2020-11-07 |
| 1063012318 | Inga Korsgaard | Psychologist | 233 Broadway Rm 850, New York, NY 10279-0800 | 2020-10-27 |
| 1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
| 1760081830 | Meagan Ryan | Psychologist | 1 3rd Ave Apt 516, Mineola, NY 11501-4340 | 2020-10-20 |
| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
| 1558968842 | Ethan Eisen | Psychologist | 107 Lakeside Dr E, Lawrence, NY 11559-1718 | 2020-10-08 |
| 1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
| 1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | ISLAND PARK |
| Zip Code | 11558 |
Please comment or provide details below to improve the information on DR. VIMLA P. VADHAN.
| 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.