ALL ISLAND DIAGNOSTIC MEDICAL PC (NPI# 1720383334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720383334 |
| Entity Type | Organization |
| Organization Name | ALL ISLAND DIAGNOSTIC MEDICAL PC |
| Practice Address |
1069 Main St Suite 334 Holbrook NY 11741-1618 |
| Mailing Address |
1069 Main Street Suite 334 Holbrook NY 11741 |
| Practice Telephone | 2122552333 |
| Practice Fax Number | 2122552455 |
| Mailing Telephone | 2122552333 |
| Mailing Fax Number | 2122552333 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |
| Authorized Official Name | DR. JAMES CARLSON (DOCTOR) |
| Authorized Official Telephone | 2122552333 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 204062 | NY | Other Service Providers |
| Street Address |
1069 MAIN ST SUITE 334 |
| City | HOLBROOK |
| State | NY |
| Zip Code | 11741-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245600162 | Cristina Loredana Cracana | Licensed Practical Nurse | 1069 Main St, Suite 133, Holbrook, NY 11741-1618 | 2015-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591199 | Rebecca Neville | Occupational Therapist | 302 Patchogue Hobrook Rd, Sunrise of Holbrook, Holbrook, NY 11741 | 2019-11-05 |
| 1437630258 | Church Street Acupuncture Pllc | Acupuncturist | 1720 Church St, Holbrook, NY 11741 | 2018-08-29 |
| 1780191288 | Mid-island Speech Language Pathology, Pllc | Speech-Language Pathologist | 24 Donald Street, Holbrook, NY 11741 | 2018-01-05 |
| 1871013177 | Melissa Blom | Massage Therapist | 19 Charles Ave, Holbrook, NY 11741 | 2017-06-27 |
| 1215392329 | Laura Glotzer | Registered Nurse | 812 Greenbelt Pkwy W, Holbrook, NY 11741 | 2015-12-17 |
| 1437524758 | Shakim Rivera | Licensed Practical Nurse | 445 Furrows Road, Box 443, Holbrook, NY 11741 | 2015-12-11 |
| 1700255965 | Nancy Inanir | Nurse Practitioner | 59 Avenue E, Holbrook, NY 11741 | 2015-09-17 |
| 1003298233 | Eileen M Murphy | Early Intervention Provider Agency | 1606 Grundy Avenue, Holbrook, NY 11741 | 2015-06-24 |
| 1386052090 | Allison Dunne | Specialist/Technologist | 9 Circeldale Lane, Holbrook, NY 11741 | 2014-07-25 |
| 1396173258 | Valerie Guidone | Registered Nurse | 24 Gainsborough Rd, Holbrook, NY 11741 | 2013-10-30 |
| Find all providers in zip 11741 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043861321 | Kassandra M Nitti | Specialist | 1370 Coates Ave, Holbrook, NY 11741-2426 | 2019-09-26 |
| 1104300680 | Sandi Lebenns-mosher | Specialist | 207 Springmeadow Dr Unit C, Holbrook, NY 11741-4112 | 2018-09-20 |
| 1043677701 | Clara Germain | Specialist | 18 Ferraro Dr, Holbrook, NY 11741-5320 | 2016-01-26 |
| 1518366731 | Sandra Decoute | Specialist | 93 Moonlightwalk, 93, Holbrook, NY 11741-4923 | 2014-08-14 |
| 1437562857 | Jennifer Rodriguez | Specialist | 228 Springmeadow Dr, Unit E., Holbrook, NY 11741-4133 | 2014-06-03 |
| 1578974630 | Nicole Innace | Specialist | 45 Timber Ridge Dr, Holbrook, NY 11741-4142 | 2014-05-12 |
| 1295165959 | Elizabeth Forese | Specialist | 177 Cirrus Rd, Holbrook, NY 11741-4406 | 2013-11-17 |
| 1114354594 | Elizabeth Campagna | Specialist | 16 Normandy Dr, Holbrook, NY 11741-5813 | 2013-10-01 |
| 1932531134 | Jennifer Marie Dilluvio | Specialist | 28 Ballad Cir, Holbrook, NY 11741-3807 | 2013-07-30 |
| 1053656918 | Erika Lynne Bauernfeind | Specialist | 39 Brandy Ave, Holbrook, NY 11741-2315 | 2012-12-04 |
| Find all providers in HOLBROOK | ||||
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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.