MS. MARY K MICHALAK (NPI# 1699814525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699814525 |
| Entity Type | Individual |
| Full Name | MS. MARY K MICHALAK |
| Credential | PA |
| Practice Address |
147 Lake St Newburgh NY 12550-5242 |
| Mailing Address |
2570 Route 9w Suite 10 Cornwall NY 12518-1323 |
| Practice Telephone | 8455638000 |
| Mailing Telephone | 8455638000 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2019-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | 001913 | NY | Other Service Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
013621 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 707 E Main St, Middletown, NY 109402650 | 8453337575 | 8453337139 |
| 38 Concord Rd, Monticello, NY 127013210 | 8453336500 | 8453336501 |
| Street Address |
147 LAKE ST |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-5242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301681 | Gbolagade O Babalola | Obstetrics & Gynecology | 147 Lake St, Newburgh, NY 12550-5263 | 2005-07-22 |
| 1780292037 | Mariana Dalecio Maeda | Optometrist | 147 Lake St, Newburgh, NY 12550-5263 | 2020-07-22 |
| 1669019675 | Kayley Mae Spinella | Physician Assistant | 147 Lake St, Newburgh, NY 12550-5263 | 2019-12-09 |
| 1932744273 | Laura Cutolo | Social Worker | 147 Lake St, Newburgh, NY 12550-5263 | 2019-11-11 |
| 1578106019 | Julie Moreno-warburton | Social Worker | 147 Lake St, Newburgh, NY 12550-5263 | 2019-10-28 |
| 1891263919 | Lilia Watson | Nurse Practitioner | 147 Lake St, Newburgh, NY 12550-5263 | 2018-11-06 |
| 1548736408 | Yolanda Sanabria-rosado | Social Worker | 147 Lake St, Newburgh, NY 12550-5263 | 2018-10-18 |
| 1902380736 | Mildred Audrey Riley-channer | Social Worker | 147 Lake St, Newburgh, NY 12550-5263 | 2018-09-18 |
| 1427546431 | Ghazaleh Sayah | Dentist | 147 Lake St, Newburgh, NY 12550-5263 | 2018-04-25 |
| 1750802740 | Pedro Zuniga Domian | Pediatrics | 147 Lake St, Newburgh, NY 12550-5263 | 2017-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689785156 | Phyllis Young | Physician Assistant | 254 Route 17k, Suite 203, Newburgh, NY 12550-8343 | 2006-08-31 |
| 1225042344 | Julie C Ormiston | Physician Assistant | 308 Fullerton Ave, Newburgh, NY 12550-3722 | 2006-07-27 |
| 1225014210 | Thomas W Waters | Physician Assistant | 5911 Laurel Ridge Dr, Newburgh, IN 47630-8067 | 2005-12-21 |
| 1649894338 | Alexis Nicole Manz | Physician Assistant | 1200 Route 300, Newburgh, NY 12550-5003 | 2020-05-29 |
| 1669019675 | Kayley Mae Spinella | Physician Assistant | 147 Lake St, Newburgh, NY 12550-5263 | 2019-12-09 |
| 1740762673 | Elizabeth Conkling | Physician Assistant | 100 St Marys Epworth Xing Ste B100, Newburgh, IN 47630-9161 | 2018-09-06 |
| 1083120273 | Brianna Miller | Physician Assistant | 100 St Marys Epworth Xing Ste B100, Newburgh, IN 47630-9161 | 2017-12-26 |
| 1457870289 | Stephanie Marie Kramer | Physician Assistant | 200 Stony Brook Ct, Newburgh, NY 12550 | 2017-09-13 |
| 1487182283 | Ethan Levine | Physician Assistant | 70 Dubois St, Newburgh, NY 12550-4851 | 2017-05-24 |
| 1497202964 | Lindsey Alt | Physician Assistant | 147 Lake St, Newburgh, NY 12550 | 2016-09-01 |
| Find all providers in NEWBURGH | ||||
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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.