CHRISTINE DRAPER KOWALESKI (NPI# 1700047206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700047206 |
| Entity Type | Individual |
| Full Name | CHRISTINE DRAPER KOWALESKI |
| Credential | NP |
| Practice Address |
739 Irving Ave Ste 340 Syracuse NY 13210-1605 |
| Mailing Address |
232 Cambridge St Syracuse NY 13210-2208 |
| Practice Telephone | 3154795070 |
| Mailing Telephone | 3155465075 |
| Mailing Fax Number | 3155465075 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
332353 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
350053 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
401257-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 232 Cambridge St, Syracuse, NY 132102208 | 3155465075 | 3155465075 |
| Street Address |
739 IRVING AVE STE 340 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851957229 | Samantha Mason Sauer | Physician Assistant | 739 Irving Ave Ste 340, Syracuse, NY 13210 | 2019-05-11 |
| 1235793852 | Alyssa Seldes | Physician Assistant | 739 Irving Ave Ste 340, Syracuse, NY 13210-1605 | 2019-04-29 |
| 1144883505 | Ashley Marie Maxam | Physician Assistant | 739 Irving Ave Ste 340, Syracuse, NY 13210-1605 | 2019-04-20 |
| 1912473083 | Maggie-anne Lorraine Ambrose | Physician Assistant | 739 Irving Ave Ste 340, Syracuse, NY 13210-1605 | 2018-10-16 |
| 1265910491 | Patrick H Crehan | Nurse Practitioner | 739 Irving Ave Ste 340, Syracuse, NY 13210-1605 | 2018-07-31 |
| 1831505148 | Collin Maloney | Physician Assistant | 739 Irving Ave Ste 340, Syracuse, NY 13210-1605 | 2014-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198857 | Syed Fazal Shah | Nurse Practitioner | 719 Harrison St Rm 126, Syracuse, NY 13210-2305 | 2020-06-12 |
| 1023675881 | John Justin Ringhisen | Nurse Practitioner | 500 Harrison St Apt 803, Syracuse, NY 13202-3003 | 2019-05-28 |
| 1720535099 | I - View Psychiatric Np Behavioral Therapy PC | Nurse Practitioner | 5640 E Taft Rd, 5096, Syracuse, NY 13220-9810 | 2016-09-04 |
| 1255696811 | Tammy L Balamut | Nurse Practitioner | 404 Oak St Ste 263, Syracuse, NY 13203-2976 | 2012-07-10 |
| 1558648733 | Jacquelynn Schultz Duquette | Nurse Practitioner | Suny Upstate Child and Adolescent Psychiatry Clinic, 713 Harrison Street, Syracuse, NY 13210 | 2011-11-15 |
| 1265030753 | Mallory Conner | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-10-15 |
| 1396361473 | Sydney Meadows | Nurse Practitioner | 847 James St, Syracuse, NY 13203-2504 | 2020-06-24 |
| 1346866829 | Candace S. Carter | Nurse Practitioner | 719 Harrison St, Syracuse, NY 13210-2305 | 2020-06-22 |
| 1508482282 | Yichao Zhang | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-06-18 |
| 1871142687 | Brian Dewayne Frank | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2019-09-05 |
| Find all providers in SYRACUSE | ||||
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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.