DR. HUIBERT MICHIEL VRIESENDORP (NPI# 1679693576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679693576 |
| Entity Type | Individual |
| Full Name | DR. HUIBERT MICHIEL VRIESENDORP |
| Credential | M.D., PH. D. |
| Practice Address |
100 Strathmore Dr Syracuse NY 13207-1650 |
| Practice Telephone | 1315299698 |
| Mailing Telephone | 1315299698 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
223451-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
100 STRATHMORE DR |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13207-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588150254 | Tonia Michelle Moore | Licensed Practical Nurse | 621 West Brighton Ave, Syracuse, NY 13207 | 2018-07-06 |
| 1992154710 | Alza Theresa Johnson | Licensed Vocational Nurse | 139 Clyde Ave, Syracuse, NY 13207 | 2016-06-13 |
| 1932528627 | Chakira Harris | Licensed Practical Nurse | 943 West Lafayette Ave, Apt 2, Syracuse, NY 13207 | 2014-04-10 |
| 1598195471 | Brittany St. Dennis | Licensed Practical Nurse | 134 Swrhill Terrace, Syracuse, NY 13207 | 2013-11-14 |
| 1417380445 | Terence White | Registered Nurse | 314 Palmer Ave, Syracuse, NY 13207 | 2013-08-13 |
| 1447587795 | Lauren C Belair | Licensed Practical Nurse | 3665 Gardenia Dr., Baldwinsville, NY 13207 | 2009-11-06 |
| 1497088843 | Eileen R. Mchale | Speech-Language Pathologist | 301 Valley Drive, Parkside Children's Center, Syracuse, NY 13207 | 2009-09-16 |
| 1114160199 | Melissa Ann Clark | Licensed Practical Nurse | 113 Cheney St, Syracuse, NY 13207 | 2009-04-07 |
| 1356565675 | Mary Agnes Wykstra | Registered Nurse | 1540 Glenwood Ave, Syracuse, NY 13207-1011 | 2007-04-11 |
| 1326297482 | Kelly Lorraine Evans | Registered Nurse | 1540 Glenwood Ave, Syracuse, NY 13207-1011 | 2008-09-14 |
| Find all providers in zip 13207 | ||||
| Taxonomy Code | 2085R0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Therapeutic Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669400297 | Stephen Hall Randall | Radiology | 1226 E Water St, Syracuse, NY 13210-1155 | 2006-06-30 |
| 1043204621 | Neil F Mariados | Radiology | 1226 E Water St, Syracuse, NY 13210-1155 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013236876 | Jerry T Liu | Radiology | 10 Union Sq E Ste 4g, New York, NY 10003-3314 | 2010-05-19 |
| 1134348378 | Stephen James Alderman | Radiology | 41 Great Hills Farm Rd, Bedford, NY 10506-2100 | 2007-04-25 |
| 1588714752 | William Raymond Bodner IIi | Radiology | 1625 Poplar St, Bronx, NY 10461-2653 | 2007-01-11 |
| 1861406191 | Paul E Lvovsky | Radiology | 2505 86th St, Brooklyn, NY 11214-4414 | 2006-07-29 |
| 1124069356 | Sung I. Lee | Radiology | 150 W 79th St, New York, NY 10024-6431 | 2006-06-09 |
| 1306805072 | Gary L Robbins | Radiology | Cortland Memorial Hospital, 153 Homer Ave, Cortland, NY 13045 | 2006-03-21 |
| 1972584670 | Alan David Steinfeld | Radiology | 82 Carthage Rd, Scarsdale, NY 10583-7148 | 2005-11-09 |
| 1750382644 | Bernadine R. Donahue | Radiology | 6300 8th Ave, Lower Level, Brooklyn, NY 11220-4718 | 2005-08-02 |
| 1770583619 | Kakulavaram Venkat Reddy | Radiology | 2215 Burdett Ave, Samaritian Hospital Cancer Care Center, Troy, NY 12180-2466 | 2005-07-21 |
| 1780682286 | Edward Scott Valentine | Radiology | Dept Radiation Oncology, Stony Brook University Hospital, Stony Brook, NY 11794-0001 | 2005-07-08 |
| 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.