MRS. GINA MARIA FALESE (NPI# 1790226082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790226082 |
Entity Type | Individual |
Full Name | MRS. GINA MARIA FALESE |
Credential | L.M.S.W. |
Practice Address |
475 East Main Street Patchogue NY 11772-1114 |
Mailing Address |
475 E Main St Patchogue NY 11772-3121 |
Practice Telephone | 6313632001 |
Mailing Telephone | 6313632001 |
Enumeration Date | 2017-03-20 |
Last Update Date | 2017-03-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
475 EAST MAIN STREET |
City | PATCHOGUE |
State | NY |
Zip Code | 11772-1114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033221338 | Matthew Bruce Pollack | Psychologist | 475 East Main Street, Suite 214, Patchogue, NY 11772 | 2006-08-31 |
1083125686 | Nicole Stanek | Social Worker | 475 East Main Street, 1st Floor, Suite 101, Patchogue, NY 11772 | 2017-10-23 |
1922498849 | Seafield Services | Case Management | 475 East Main Street, Suite 101, Patchogue, NY 11772 | 2015-01-30 |
1265761191 | Mzl Home Care Agency LLC | Home Health | 475 East Main Street, Suite 216, Patchogue, NY 11772 | 2009-12-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
Find all providers in zip 11772 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932726338 | Dana Ashley Ellis | Counselor | 98 E Lakewood St, Patchogue, NY 11772-2813 | 2020-07-01 |
1699231480 | Jennifer Oconnell | Counselor | 16 Sims St, Patchogue, NY 11772-1534 | 2019-02-16 |
1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
1699840447 | Josephine Cereola Miller | Counselor | 276 West Ave, Patchogue, NY 11772-3543 | 2006-11-21 |
1548356264 | Gerard T Seifert | Counselor | 106 Gillette Ave, Patchogue, NY 11772 | 2006-10-04 |
1205393220 | Danielle Marie Greenan | Counselor | 456 Waverly Ave, Patchogue, NY 11772-1586 | 2019-02-26 |
1407363765 | Karen Gross | Counselor | 4 Phyllis Dr, Patchogue, NY 11772-2900 | 2018-01-08 |
1356856173 | Jamie Palm | Counselor | 456 Waverly Ave, Patchogue, NY 11772-1586 | 2017-12-04 |
1740644244 | Begentle Psychotherapy, Np In Psychiatry Pllc | Counselor | 122 W Roe Blvd, Patchogue, NY 11772-2569 | 2016-04-11 |
1689037574 | Silver Linings A Safe Haven | Counselor | 475 E Main St, Suite 102, Patchogue, NY 11772-3121 | 2016-03-30 |
Find all providers in PATCHOGUE |
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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.