ENHANCED MEDICAL CARE PC (NPI# 1699063073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699063073 |
| Entity Type | Organization |
| Organization Name | ENHANCED MEDICAL CARE PC |
| Practice Address |
170 Lake St Liberty NY 12754-1966 |
| Mailing Address |
75 Herrick Ave # 201 Spring Valley NY 10977-3818 |
| Practice Telephone | 8458260060 |
| Mailing Telephone | 8458260060 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |
| Authorized Official Name | DAVID HALDORSEN (OWNER) |
| Authorized Official Telephone | 8458260060 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 107113 | NY | Other Service Providers |
| Street Address |
170 LAKE ST |
| City | LIBERTY |
| State | NY |
| Zip Code | 12754-1966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861458036 | Wmop LLC | Skilled Nursing Facility | 170 Lake St, Liberty, NY 12754-1966 | 2006-04-25 |
| 1487292785 | Courtney Taylor Banks | Occupational Therapist | 170 Lake St, Liberty, NY 12754-1966 | 2019-12-17 |
| 1326464801 | Heather Saylor | Occupational Therapist | 170 Lake St, Liberty, NY 12754-1966 | 2014-03-08 |
| 1093130742 | Empire Wound Physician Services, Pllc | General Practice | 170 Lake St, Liberty, NY 12754-1966 | 2014-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060749 | Tiffany Anne Huebsch | Registered Nurse | 52 Ferndale Loomis Rd, Liberty, NY 12754 | 2018-10-30 |
| 1548744667 | Nicole Rose | Case Manager/Care Coordinator | 50 Community Lane, Liberty, NY 12754 | 2018-09-25 |
| 1073093035 | Gelsomino and Davis Speech and Occupational Therapy | Case Management | 5 Triangle Rd Ste C, Liberty, NY 12754 | 2018-08-20 |
| 1063952935 | Kathleen F Brandt | Chiropractor | 10 Hanofee Dr., Liberty, NY 12754 | 2017-02-27 |
| 1437401924 | Shannon Marie Ostrander | Social Worker | 20 Commmunity Lane, Liberty, NY 12754 | 2012-10-08 |
| 1962788554 | Jill M Holland | Occupational Therapy Assistant | 6 Weirk Ave, Liberty, NY 12754 | 2011-10-26 |
| 1962653790 | Sylvie B Acoulon | Social Worker | 20 Community Services, Liberty, NY 12754 | 2008-10-10 |
| 1568680767 | Melanie A Cavrell | Social Worker | 76 Nature Lake Rd Ofc, Liberty, NY 12754 | 2007-04-23 |
| 1922015817 | Helen Marian Burke | Advanced Practice Midwife | 23 High Street, Monticello, NY 12754 | 2006-08-02 |
| 1427087105 | Town of Liberty Volunteer Ambulance Corps Inc | Ambulance | 178 Mill St, Liberty, NY 12754 | 2006-07-03 |
| Find all providers in zip 12754 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891836581 | Stanford Family Medicine & Obstetrics Psc | Legal Medicine | 19 Abes Plaza, Old Hustonville Rd, Liberty, KY 42539 | 2007-02-08 |
| 1457555146 | Bluegrass Clinic Liberty, Pllc | Legal Medicine | 19 Abes Plaza, Liberty, KY 42539 | 2007-06-14 |
| 1912050709 | Advanced Health & Medical,p.c. | Legal Medicine | 21 Mill St, Liberty, NY 12754-2010 | 2007-01-18 |
| 1659424372 | Advanced Medical of Middletown PC | Legal Medicine | 21 Mill St, Liberty, NY 12754-2010 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053940288 | Jennifer Grossman | Legal Medicine | 1408 Myrtle Ave Apt 2, Brooklyn, NY 11237-4513 | 2020-04-08 |
| 1215566674 | Guy Regev | Legal Medicine | 192 E 5th St Apt 2b, Brooklyn, NY 11218-3465 | 2020-04-07 |
| 1427565571 | Da Medical Services, Pllc | Legal Medicine | 160 E 56th St Fl 4, New York, NY 10022-3609 | 2018-01-10 |
| 1659827285 | Digestive Care and Endoscopy, Pllc | Legal Medicine | 10816 72nd Avenue, 2nd Floor, Forest Hills, NY 11375-5656 | 2016-09-01 |
| 1245619030 | Ehab Hassanain Medical PC | Legal Medicine | 1930 85th St Apt 2, Brooklyn, NY 11214-3148 | 2015-05-26 |
| 1326434309 | Monelle Buissereth | Legal Medicine | 38 Locustwood Blvd, Elmont, NY 11003-1410 | 2015-04-07 |
| 1184015216 | Frank Babb Md P.C. | Legal Medicine | 870 Saint Nicholas Ave, A8, New York, NY 10032-5215 | 2015-02-11 |
| 1659783256 | Santha Mohan Md | Legal Medicine | 335 E 118th St, New York, NY 10035-4253 | 2014-05-30 |
| 1184034183 | Medical State of Queens | Legal Medicine | 8544 66th Rd, Rego Park, NY 11374-5212 | 2014-04-30 |
| 1588089809 | Cassandra Delly | Legal Medicine | 651 E 80th St, Brooklyn, NY 11236-3311 | 2014-02-24 |
| 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.