DIANA SERVISS (NPI# 1760770283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760770283 |
| Entity Type | Individual |
| Full Name | DIANA SERVISS |
| Credential | L.M.T |
| Practice Address |
61 Route 111 Smithtown NY 11787-3712 |
| Mailing Address |
Po Box 385 East Setauket NY 11733-0385 |
| Practice Telephone | 6313607733 |
| Mailing Telephone | 6099724324 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 024717 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MASSAGE LICENSE | 024717 | 01 |
| Street Address |
61 ROUTE 111 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154397594 | Dennis Michael Illuzzi | Podiatrist | 61 Route 111, Smithtown, NY 11787-3712 | 2006-02-26 |
| 1639367576 | Robert D. Berney | Chiropractor | 61 Route 111, Smithtown, NY 11787-3712 | 2007-10-04 |
| 1336232388 | Cecilia Capuano King | Podiatrist | 61 Route 111, Smithtown, NY 11787-3712 | 2006-10-02 |
| 1902907017 | Robert Douglas Berney | Chiropractor | 61 Route 111, Smithtown, NY 11787-3712 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609170661 | Grace Radner | Contractor | 97 Cornell Dr, Smithtown, NY 11787-3022 | 2011-01-06 |
| 1588973382 | Sheri L Robbins | Contractor | 63 Sheryl Cres, Smithtown, NY 11787-1321 | 2010-09-28 |
| 1558400689 | Pamela B Solomon | Contractor | 20 Knoll Ln, Smithtown, NY 11787-2325 | 2007-02-05 |
| 1992700306 | Gayle Lindroth | Contractor | 308 W Main St, Ste 202, Smithtown, NY 11787-2617 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022455 | Michael Charles Findlay | Contractor | 9509 32nd Ave Fl 1, East Elmhurst, NY 11369-1849 | 2020-10-27 |
| 1659971869 | Stephanie Rosario | Contractor | 1184 Evergreen Ave Apt 6d, Bronx, NY 10472-3235 | 2020-10-27 |
| 1306443791 | Julie Ann Hall | Contractor | 2326 Valley View Dr, Allegany, NY 14706-9669 | 2020-10-08 |
| 1104431618 | Elizabeth Anne Oakes-lani | Contractor | 5 Motts Ln, Glenwood Landing, NY 11547-3015 | 2020-09-11 |
| 1295357598 | Scale Rcm | Contractor | 251 Mountainview Ave Ste 7, Nyack, NY 10960-1700 | 2020-05-11 |
| 1972124758 | Christopher Boston | Contractor | 24917 148th Rd, Rosedale, NY 11422-2711 | 2020-05-03 |
| 1700407004 | Ethel M Webb | Contractor | 495 Attridge Road, 2, Churchville, NY 14428-1462 | 2020-04-28 |
| 1063046845 | Valerie Kaufman | Contractor | 3611 Henry Hudson Pkwy Apt 5b, Bronx, NY 10463-1554 | 2020-03-02 |
| 1033742671 | Rochester Flooring Kitchen & Bath Inc. | Contractor | 360 Jefferson Rd, Rochester, NY 14623-2644 | 2020-02-21 |
| 1881239317 | Whitney L Coventry | Contractor | 26 Greenwood Dr, Orchard Park, NY 14127-3913 | 2019-11-07 |
| 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.