SHANE RONALD RAYMOND (NPI# 1699300533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699300533 |
| Entity Type | Individual |
| Full Name | SHANE RONALD RAYMOND |
| Credential | DC |
| Practice Address |
7 Walnut Rd Glen Cove NY 11542-2267 |
| Mailing Address |
11731 237th St Elmont NY 11003-3927 |
| Practice Telephone | 5166093100 |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X013324-01 | NY | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 717 Front St, Hempstead, NY 115504534 | 5165653534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457516692 | Shane T Raymond | Social Worker | 1427 Oakfield Dr, Brandon, FL 33511-2801 | 2008-07-28 |
| Street Address |
7 WALNUT RD |
| City | GLEN COVE |
| State | NY |
| Zip Code | 11542-2267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326562034 | Roger Mitchell | Chiropractor | 7 Walnut Rd, Glen Cove, NY 11542-2267 | 2017-08-03 |
| 1164088712 | G1l Physical Therapy P.C. | Clinic/Center | 7 Walnut Rd, Glen Cove, NY 11542-2267 | 2019-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104468461 | Yvonne N Valcourt | Registered Nurse | 14 Burns Ave, Glen Cove, NY 11542 | 2019-10-08 |
| 1508419771 | Gregory Stephen Bonistalli | Audiologist | 70 Glen St Ste 100, Glen Cove, NY 11542 | 2019-07-17 |
| 1861954646 | Pulkit Malik | Student in an Organized Health Care Education/Training Program | Northwell Health Glen Cove Hospital, 101 St. Andrews Lane, Glen Cove, NY 11542 | 2019-04-02 |
| 1912498783 | Rays of Light Companion Care Agency LLC | Long Term Care Hospital | 70 Forest Ave # 2g, Glen Cove, NY 11542 | 2018-05-28 |
| 1164978391 | Nithin Kuruvilla | Pharmacist | 421 Glen Cove Road, East Hills, NY 11542 | 2016-08-28 |
| 1063879245 | Kerri A Sujeski | Physician Assistant | 104 Forest Avenue, Glen Cove, NY 11542 | 2016-01-19 |
| 1093110884 | Sherri Meagher | Social Worker | 130 Glen Street, Glen Cove, NY 11542 | 2014-10-23 |
| 1174946537 | Lori Seele | Psychologist | Ridge Drive, Connolly Elementary School, Glen Cove, NY 11542 | 2014-01-21 |
| 1255671210 | Wendy S Grossman | Speech-Language Pathologist | 2 Dosoris Lane, Deasy School Glen Cove School District, Glen Cove, NY 11542 | 2013-02-27 |
| 1033459318 | Kristin Strelec | Social Worker | Seaman & Walnut Roads, Gribbin School Glen Cove School District, Glen Cove, NY 11542 | 2013-02-22 |
| Find all providers in zip 11542 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972067304 | Gurvansh Anand | Chiropractor | 248 Walnut Rd, Glen Cove, NY 11542-1532 | 2019-01-30 |
| 1841773967 | Nelson Lee | Chiropractor | 139 Glen St, Glen Cove, NY 11542-2709 | 2018-09-14 |
| 1326562034 | Roger Mitchell | Chiropractor | 7 Walnut Rd, Glen Cove, NY 11542-2267 | 2017-08-03 |
| 1225448749 | Latoya Evans | Chiropractor | 10 Chadwick St Fl 2, Glen Cove, NY 11542-4108 | 2014-05-06 |
| 1093993958 | Russell Marc Charno | Chiropractor | 190 Glen Cove Ave, Glen Cove, NY 11542-4187 | 2008-02-03 |
| 1477681831 | Helen Finn-siracusa | Chiropractor | 57 Forest Ave, Glen Cove, NY 11542-2107 | 2007-02-28 |
| 1184763948 | Claire M. Li, Dc PC | Chiropractor | 66 Landing Rd, Glen Cove, NY 11542-1844 | 2007-02-06 |
| 1912052937 | James Spina | Chiropractor | 44 Crescent Beach Rd, Glen Cove, NY 11542 | 2007-01-23 |
| 1982754222 | Scott Charles Sherry | Chiropractor | 1112commercial St., Glen Cove, ME 04846-0092 | 2007-01-11 |
| 1730239088 | Aleta Lark Jenkins | Chiropractor | 1112 Commercial St., Glen Cove, ME 04846-0092 | 2007-01-11 |
| Find all providers in GLEN COVE | ||||
Please comment or provide details below to improve the information on SHANE RONALD RAYMOND.
| 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.