DR. PETER JOHN CORNISH (NPI# 1669505590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669505590 |
| Entity Type | Individual |
| Full Name | DR. PETER JOHN CORNISH |
| Credential | PH.D. |
| Practice Address |
2310 Nott St E C/o Assoc. In Mental Health and Neuropsychology Niskayuna NY 12309-4303 |
| Mailing Address |
1367 Valencia Rd Niskayuna NY 12309-5331 |
| Practice Telephone | 5185051961 |
| Practice Fax Number | 5186947348 |
| Mailing Telephone | 5183825891 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2009-04-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
011941 | NY | Behavioral Health & Social Service Providers |
| Street Address |
2310 NOTT ST E C/O ASSOC. IN MENTAL HEALTH AND NEUROPSYCHOLOGY |
| City | NISKAYUNA |
| State | NY |
| Zip Code | 12309-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346222544 | Janice M Howells | Social Worker | 2310 Nott St E, Niskayuna, NY 12309-4333 | 2005-11-15 |
| 1922455567 | Rebecca Martin | Clinical Neuropsychologist | 2310 Nott St E, Niskayuna, NY 12309-4345 | 2016-05-23 |
| 1710391701 | Phong Chung | Dentist | 2310 Nott St E, Niskayuna, NY 12309-4345 | 2014-06-17 |
| 1548519317 | Jill Deltosta | Psychologist | 2310 Nott St E, Niskayuna, NY 12309-4345 | 2012-09-07 |
| 1063772382 | Holly Serrao | Psychologist | 2310 Nott St E, Niskayuna, NY 12309-4303 | 2012-05-21 |
| 1053546713 | Mark Rogerson | Clinical Neuropsychologist | 2310 Nott St E, Niskayuna, NY 12309-4303 | 2009-05-26 |
| 1730374828 | David S Skory Md PC | Obstetrics & Gynecology | 2310 Nott St E, Ste 1, Niskayuna, NY 12309-4303 | 2007-09-11 |
| 1821293309 | John M. Pramenko, Md, P.C. | Family Medicine | 2310 Nott St E, Niskayuna, NY 12309-4303 | 2007-06-15 |
| 1588786461 | Curley Ellis and Felsman Psychologists PC | Clinical Neuropsychologist | 2310 Nott St E, Niskayuna, NY 12309-4303 | 2007-04-04 |
| 1750438347 | Linda Gavan Ward | Psychologist | 2310 Nott St E, Niskayuna, NY 12309-4303 | 2007-01-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
| 1902396351 | Erica S Hill | Occupational Therapist | 2246 Van Rensselaer Dr, Niskayuna, NY 12309 | 2018-05-11 |
| 1588107015 | Orthopedicsny, LLP | Orthopaedic Surgery | 1760 Union St, Suite 100, Schenectady, NY 12309 | 2016-12-01 |
| 1932589983 | Patricia P Primomo | Dentist | 2310 Nott Street East, Niskayuna, NY 12309 | 2015-06-04 |
| 1386074268 | Bernard P Kinlan | Social Worker | 1 Ascot Lane, Terrace At Glen Eddy, Niskayuna, NY 12309 | 2013-11-14 |
| 1255680344 | Rudy Nydegger Phd, Abpp, Pllc | Psychologist | 2317 Balltown Rd., Suite 203, Schenectady, NY 12309 | 2012-09-05 |
| 1407104094 | Rachelle Ann Kehoe | Specialist | 950 St. David's Lane, Schenectady, NY 12309 | 2012-08-29 |
| 1073882726 | Kristina Lynn Deangelo | Speech-Language Pathologist | 1872 Hexam Road West, Niskayuna, NY 12309 | 2011-12-27 |
| 1467720136 | Jjm Chiropractic, LLC | Chiropractor | 1756 Union St., Niskayuna, NY 12309 | 2011-12-08 |
| 1659658474 | Richard W Glover | Dentist | 2310 Nott St. East, Niskayuna, NY 12309 | 2011-11-08 |
| Find all providers in zip 12309 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215972641 | Marcus Hotaling | Psychologist | 1786 Union St, Niskayuna, NY 12309-6901 | 2006-06-19 |
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| 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 |
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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.