JACQUELINE MARJORIE LICHTENSTEIN (NPI# 1679897060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679897060 |
| Entity Type | Individual |
| Full Name | JACQUELINE MARJORIE LICHTENSTEIN |
| Credential | PA-C |
| Practice Address |
45 Crossways Park Dr W Woodbury NY 11797-2037 |
| Practice Telephone | 5164228080 |
| Practice Fax Number | 5169924637 |
| Mailing Telephone | 5164228080 |
| Mailing Fax Number | 5169924637 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2015-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
019016 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA4025 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912085432 | Jacqueline W Lichtenstein | Psychiatry & Neurology | 16055 Ventura Blvd, # 710, Encino, CA 91436-2610 | 2006-11-01 |
| Street Address |
45 CROSSWAYS PARK DR W |
| City | WOODBURY |
| State | NY |
| Zip Code | 11797-2037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053415448 | Neal Smith | Orthopaedic Surgery | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2006-09-07 |
| 1235757642 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | 45 Crossways Park Dr W, Woodbury, NY 11797-2002 | 2020-07-12 |
| 1366942609 | North Shore-lij Cardiovascular Medicine PC | Physician Assistant | 45 Crossways Park Dr W, Woodbury, NY 11797-2002 | 2018-02-13 |
| 1689020273 | Heather Mitchell | Specialist | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2016-05-12 |
| 1124490750 | Jessica Dizinno | Physician Assistant | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2015-10-22 |
| 1578934352 | Orlin and Cohen Orthopedic Associates, LLP | Specialist | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2015-10-19 |
| 1790068989 | Leslie Ann Davis | Physician Assistant | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2011-09-23 |
| 1770889990 | Jonathan D Krystal | Specialist | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2011-02-04 |
| 1457581639 | Shyam Vekaria | Specialist | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2009-07-21 |
| 1972745099 | Cheryl Elizabeth Daves | Specialist | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2009-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480757 | Melissa Beth Goldstein | Social Worker | 69 Aspen Drive West, Woodbury, NY 11797 | 2020-06-03 |
| 1023654985 | Stephanie Silberman | Social Worker | 136 Woodbury Rd Ste 103, Woodbury, NY 11797 | 2019-11-25 |
| 1225692304 | Patricia L Topper | Technician/Technologist | Optics Plus, 8285 Jericho Tpke, Woodbury, NY 11797 | 2019-04-24 |
| 1972040715 | Vicki Stogiannos | Counselor | 136 Woodbury Rd Ste L4, Woodbury, NY 11797 | 2017-01-31 |
| 1801225917 | Melissa Messer | Early Intervention Provider Agency | 108 Chestnut Lane, Woodbury, NY 11797 | 2013-11-08 |
| 1205174497 | Town Total Health, LLC | Pharmacy | 415 Crossways Park Drive, Suite A, Woodbury, NY 11797 | 2013-01-22 |
| 1750644878 | Shahrzad Bagheri | Specialist | 322 Anchorage Drive, Woodbury, Woodbury, New York, NY 11797 | 2012-06-22 |
| 1700171865 | Town Total Compounding Centers, LLC | Pharmacy | 415 Crossways Park Dr, Suite B, Woodbury, NY 11797 | 2011-06-16 |
| 1023316247 | Marnie Marissa Morabito | Speech-Language Pathologist | 72 Southwoods Road, Woodbury, NY 11797 | 2011-03-11 |
| 1114229838 | Malcolm Berger | Physical Therapy Assistant | 122 Southwoods Rd, Woodbury, NY 11797 | 2010-12-01 |
| Find all providers in zip 11797 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013496892 | Daniel Louis Fazzino | Physician Assistant | 76 Barnhill Rd, Woodbury, CT 06798-2219 | 2018-08-12 |
| 1871789123 | Alissa Paul | Physician Assistant | 449 Commerce Dr, Woodbury, MN 55125-4872 | 2007-09-20 |
| 1457460743 | Anthony F Orlando | Physician Assistant | 608 N Broad St, Suite 100, Woodbury, NJ 08096-1794 | 2006-08-30 |
| 1992746242 | Susan Tamagni | Physician Assistant | 159 S Broad St, Woodbury, NJ 08096-2410 | 2006-06-09 |
| 1437523248 | Abigail House Tierney | Physician Assistant | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2015-11-17 |
| 1396149910 | Matthew Voit | Physician Assistant | 509 N Broad St, Woodbury, NJ 08096-1617 | 2014-10-09 |
| 1588086821 | Krystina Zeliff | Physician Assistant | 875 Mantua Pike, Woodbury, NJ 08096 | 2014-01-06 |
| 1326312430 | Brian W. Boockoff | Physician Assistant | 414 Tatum St, Woodbury, NJ 08096-3499 | 2012-03-07 |
| 1790068989 | Leslie Ann Davis | Physician Assistant | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2011-09-23 |
| 1467733816 | Andrea M Bolesta | Physician Assistant | 509 N Broad St, Woodbury, NJ 08096-1617 | 2011-08-30 |
| Find all providers in WOODBURY | ||||
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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.