SHAETU DATTA (NPI# 1720493141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720493141 |
| Entity Type | Individual |
| Full Name | SHAETU DATTA |
| Credential | M.D. |
| Practice Address |
200 Old Country Rd Ste 370 Mineola NY 11501-4264 |
| Mailing Address |
14 Wall St Fl 9 New York NY 10005-2178 |
| Practice Telephone | 5166634525 |
| Practice Fax Number | 5166634532 |
| Mailing Telephone | 6462817788 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
303785 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
200 OLD COUNTRY RD STE 370 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-4264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518133750 | Sarah Mintu Cherian | Psychiatry & Neurology | 200 Old Country Rd Ste 370, Mineola, NY 11501-4264 | 2008-05-07 |
| 1497141006 | Matthew Bokhari | Psychiatry & Neurology | 200 Old Country Rd Ste 370, Mineola, NY 11501-4264 | 2015-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in zip 11501 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841630118 | Yi Zhang | Psychiatry & Neurology | 222 Station Plz N Ste 407, Mineola, NY 11501 | 2013-07-01 |
| 1497141006 | Matthew Bokhari | Psychiatry & Neurology | 200 Old Country Rd Ste 370, Mineola, NY 11501-4264 | 2015-04-09 |
| 1952796203 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Psychiatry & Neurology | 200 Old Country Rd, Suite 370, Mineola, NY 11501-4235 | 2015-04-03 |
| 1104187418 | Winthrop Neuro-science Medical PC | Psychiatry & Neurology | 200 Old Country Rd, Suite 370, Mineola, NY 11501-4235 | 2012-06-04 |
| 1174785802 | Rajanandini Muralidharan | Psychiatry & Neurology | 222 Station Plz N, Suite 408, Mineola, NY 11501-3800 | 2008-06-25 |
| 1114192853 | Feliks Koyfman | Psychiatry & Neurology | 200 Old Country Rd, Suite 370, Mineola, NY 11501-4235 | 2008-04-24 |
| 1851454110 | Nassau Neurological Consultants, P.C. | Psychiatry & Neurology | 156 1st St, Mineola, NY 11501-4084 | 2006-12-18 |
| 1528031259 | Ross Orthopedic Group PC | Psychiatry & Neurology | 161 Willis Ave, Mineola, NY 11501-2616 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638275 | Oversight Physician Services Pllc | Psychiatry & Neurology | 198 Sussex Dr, Manhasset, NY 11030-3737 | 2020-08-04 |
| 1841818234 | Padmaja Aradhya Md Pllc | Psychiatry & Neurology | 17 Dillon Dr, Dix Hills, NY 11746-7945 | 2020-07-11 |
| 1184279085 | All Island Neurology PC | Psychiatry & Neurology | 11617 Atlantic Ave, Richmond Hill, NY 11418-3141 | 2019-08-07 |
| 1346802352 | Ny Neurology Medicine PC | Psychiatry & Neurology | 305 7th Ave Rm 13c, New York, NY 10001-6155 | 2019-07-01 |
| 1770144636 | Upstate Neurology P.C. | Psychiatry & Neurology | 804 Syska Rd, Ossining, NY 10562-1424 | 2019-06-21 |
| 1659836518 | David T Finkelstein | Psychiatry & Neurology | 3619 Bedford Ave Apt 1b, Brooklyn, NY 11210-5254 | 2019-02-05 |
| 1801360029 | Ghassan George Haddad | Psychiatry & Neurology | 20 Waterside Plz Apt 26e, New York, NY 10010-2665 | 2019-01-22 |
| 1427527472 | Daniel Ahoubim Md PC | Psychiatry & Neurology | 37 W 26th St Rm 204, New York, NY 10010-1145 | 2018-11-20 |
| 1053889378 | Paul Wright, M.d. | Psychiatry & Neurology | 500 N Broadway Ste 16, Jericho, NY 11753-2127 | 2018-11-05 |
| 1770096109 | Wpw Medical, Pllc | Psychiatry & Neurology | 280 Dobbs Ferry Rd Ste 206, White Plains, NY 10607-1912 | 2017-11-07 |
| 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.