JOHN J DILALLO (NPI# 1720013808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720013808 |
| Entity Type | Individual |
| Full Name | JOHN J DILALLO |
| Credential | M.D. |
| Practice Address |
411 W 114th St 2nd Floor New York NY 10025-1710 |
| Mailing Address |
160 Berkeley Pl #3f Brooklyn NY 11217-3642 |
| Practice Telephone | 2125236635 |
| Mailing Telephone | 2125236635 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
155596 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
411 W 114TH ST 2ND FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447732615 | Kristen Courtney | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2018-09-04 |
| 1912499294 | Margaret Rauen | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2018-06-03 |
| 1285151787 | Michael Reding | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2017-08-25 |
| 1770944407 | Mana Samghabadi | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2016-03-08 |
| 1144694563 | Andrew Shand | Social Worker | 411 W 114th St, New York, NY 10025-1710 | 2015-11-23 |
| 1205232980 | Alex Movahed | Social Worker | 411 W 114th St, New York, NY 10025-1710 | 2014-11-07 |
| 1497151229 | Zoe Reyes | Social Worker | 411 W 114th St, 3rd Floor, New York, NY 10025-1710 | 2014-11-05 |
| 1104232156 | Nadia Zein Hidayatallah | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2014-07-09 |
| 1174943781 | Jessica Brodsky Macklin | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2014-04-22 |
| 1821417437 | Gina Moffa | Social Worker | 411 W 114th St, Suite 417, New York, NY 10025-1710 | 2014-04-10 |
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| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
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| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1902281629 | Derek Rudge | Psychiatry & Neurology | 1051 Riverside Dr Rm 235, New York, NY 10032-1007 | 2015-07-23 |
| 1275918096 | Dr Omar Bashayan Physician Pllc | Psychiatry & Neurology | 155 W 68th St Apt 1102, New York, NY 10023-5816 | 2015-07-22 |
| 1427486067 | Roy Lubit | Psychiatry & Neurology | 165 West End Ave 3l, New York, NY 10023 | 2013-10-17 |
| 1801144415 | Andrea E Ackerman | Psychiatry & Neurology | 109 West 26th Street, 10, New York, NY 10001-6806 | 2012-08-29 |
| 1336407105 | Marta Galecki | Psychiatry & Neurology | 420 E 70th St Apt 12c, New York, NY 10021-5320 | 2012-04-30 |
| 1558637934 | Anthony Joseph Deo | Psychiatry & Neurology | 1051 Riverside Dr # 85, New York, NY 10032-1007 | 2012-03-29 |
| 1831487446 | Maria Perez-coste | Psychiatry & Neurology | 541 Broadway, Allen Pavillion, New York, NY 10012-3944 | 2011-07-16 |
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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.