AMANDA GRACE ACEBEDO (NPI# 1699322131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699322131 |
| Entity Type | Individual |
| Full Name | AMANDA GRACE ACEBEDO |
| Credential | CF |
| Practice Address |
785 Larkfield Rd Commack NY 11725 |
| Mailing Address |
785 Larkfield Rd Commack NY 11725-3122 |
| Practice Telephone | 9177495311 |
| Mailing Telephone | 9177495311 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | NY | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 785 Larkfield Rd, Commack, NY 11725 | 9177495311 |
| Street Address |
785 LARKFIELD RD |
| City | COMMACK |
| State | NY |
| Zip Code | 11725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| 1013335934 | Scelza Family Chiropractic | Chiropractor | 6268 Jericho Turnpike #6, Commack, NY 11725 | 2014-03-29 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528609534 | James Hyunseok Pak | Student in an Organized Health Care Education/Training Program | 22 Heron Ln, Commack, NY 11725-4906 | 2019-10-01 |
| 1851770507 | Jaime Terracciano | Student in an Organized Health Care Education/Training Program | 11 Arden Ln, Commack, NY 11725-1301 | 2015-05-28 |
| 1659914620 | Kelsey Barnett | Student in an Organized Health Care Education/Training Program | 155 Indian Head Rd, Commack, NY 11725-2212 | 2019-10-23 |
| 1013341874 | Danielle Ferry | Student in an Organized Health Care Education/Training Program | 145 Commack Rd, Commack, NY 11725-3438 | 2013-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124986 | Khyati Zala | Student in an Organized Health Care Education/Training Program | 143 South Dr, New Hyde Park, NY 11040-2232 | 2020-11-06 |
| 1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
| 1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
| 1063013936 | Kenneth Yang | Student in an Organized Health Care Education/Training Program | 30 Rover Ln, Hicksville, NY 11801-6253 | 2020-11-05 |
| 1770184061 | Talia Regina Stagnitta | Student in an Organized Health Care Education/Training Program | 134 Shaber Rd, Patchogue, NY 11772-2429 | 2020-11-04 |
| 1316548605 | Caitlin Hitsous Fitzpatrick | Student in an Organized Health Care Education/Training Program | 18 Hampton Ct, Port Washington, NY 11050-3021 | 2020-11-04 |
| 1538760814 | Adam Paul Tamburello | Student in an Organized Health Care Education/Training Program | 4 Foothill Ln, East Northport, NY 11731-4107 | 2020-11-04 |
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1255932539 | Jordan Taylor Rucks | Student in an Organized Health Care Education/Training Program | 17 Hollingsworth Pl, Centereach, NY 11720-2111 | 2020-11-04 |
| 1639770266 | Fahad Gul Khan | Student in an Organized Health Care Education/Training Program | 760 Broadway Rm 10a218, Brooklyn, NY 11206-5383 | 2020-11-02 |
| 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.