MS. SUSAN FRANCES PISANO (NPI# 1790795060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790795060 |
| Entity Type | Individual |
| Full Name | MS. SUSAN FRANCES PISANO |
| Credential | CTRS |
| Practice Address |
79 Middleville Rd Northport NY 11768-9835 |
| Mailing Address |
79 Middleville Rd Northport NY 11768-2200 |
| Practice Telephone | 6312614400 |
| Practice Fax Number | 6312616099 |
| Mailing Telephone | 6312614400 |
| Mailing Fax Number | 6312616099 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 44086 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
79 MIDDLEVILLE RD |
| City | NORTHPORT |
| State | NY |
| Zip Code | 11768-9835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417958471 | David Wayne Gately | Psychologist | 79 Middleville Rd, Va Medical Center, Psychology Service (116b), Northport, NY 11768-2200 | 2005-08-02 |
| 1497356174 | Cynthia Abigail Serrano-colon | Nurse Practitioner | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-11-08 |
| 1225636020 | Jessie Ryan Poznack | Pathology | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-10-14 |
| 1356958094 | Alex Myunghwan Shin | Optometrist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-09-27 |
| 1407460470 | Kimberly Ann Smith | Pharmacist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-09-07 |
| 1790398634 | Simrit Kaur Virk | Optometrist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-08-29 |
| 1700499670 | Christine Palathinkal | Pharmacist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-08-28 |
| 1235748252 | Valerie Marie Campos | Registered Nurse | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-07-27 |
| 1124636634 | Da Som Kim | Pharmacist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-07-21 |
| 1518584341 | Irene Sofia Koutsidis | Social Worker | 79 Middleville Rd, Northport, NY 11768-2296 | 2020-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649753088 | Tania Morris | Developmental Therapist | 130 Main St, #1, Northport, Ny 11768, Northport, NY 11768 | 2018-09-12 |
| 1639698343 | Karen Yuan Wong | Student in an Organized Health Care Education/Training Program | 79 Middleviille Rd., Optometry 123, Northport, NY 11768 | 2017-09-13 |
| 1821514795 | Village Speech and Language Pllc | Clinic/Center | 62 Makamah Beach Rd, Northport, NY 11768 | 2017-08-22 |
| 1073960415 | Dennis Falco | Private Vehicle | 5 Captain Richards Ln, Fort Salonga, NY 11768 | 2016-05-16 |
| 1679938252 | Debra Marie Failla | Psychologist | 260 Main Street, Suite 202, Northport, NY 11768 | 2015-12-23 |
| 1649649096 | Lillian Patricia Fais | Specialist | 26 Josephine Lane, Fort Salonga, NY 11768 | 2015-09-16 |
| 1427349505 | Kathleen Ann Korwasky | Occupational Therapist | 18 Dick Court, Northport, NY 11768 | 2011-04-25 |
| 1043448822 | Gianna Rose Ferranti | Dentist | 19 Winkle Point Road, Northport, NY 11768 | 2009-06-30 |
| 1861658213 | Barbara Ann Hansen | Registered Nurse | 78 Eatons Neck Rd, Northport, NY 11768 | 2008-08-05 |
| 1902060148 | Dana Ruth Cohen | Psychiatry & Neurology | 79 Middleville Road, Bldg 64, Northport Vamc, Northport, NY 11768 | 2008-07-16 |
| Find all providers in zip 11768 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104091339 | Mary Bernadette Sutton Leavy | Recreation Therapist | 79 Middleville Rd, Northport, NY 11768-2200 | 2008-04-29 |
| 1821272329 | Department of Veterans Affairs | Recreation Therapist | 79 Middleville Rd, Northport, NY 11768-2200 | 2007-12-20 |
| 1396758751 | Patrick C Campbell | Recreation Therapist | 79 Middleville Rd, Northport, NY 11768-2200 | 2006-08-15 |
| 1598771594 | Patricia A Schmidt | Recreation Therapist | 79 Middleville Rd, Northport, NY 11768-2200 | 2006-07-31 |
| 1770599565 | Domenic F. D'achille | Recreation Therapist | 79 Middleville Rd, Northport, NY 11768 | 2006-07-31 |
| 1598788861 | Laura Ann Leonhardt | Recreation Therapist | 79 Middleville Rd, Northport, NY 11768-2200 | 2006-07-26 |
| 1437171162 | Cathy G. Lee | Recreation Therapist | 79 Middleville Rd, Recreation Therapy Service (11k), Northport, NY 11768-2200 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427540822 | Simone M Wong | Recreation Therapist | 596 Argyle Rd Apt 5, Brooklyn, NY 11230-1647 | 2018-05-31 |
| 1396257705 | Michael Krauer | Recreation Therapist | 920 48th St Rm 1515, Brooklyn, NY 11219-2918 | 2017-10-26 |
| 1962958249 | Patricia Cole | Recreation Therapist | 2049 Albany Post Road, Montrose, NY 10548 | 2016-08-28 |
| 1629422902 | Karin Harris | Recreation Therapist | 73 Fairfield St, Middleville, NY 13406-1822 | 2016-04-22 |
| 1285017608 | Jennin Mary Nangle | Recreation Therapist | 15 Borman Ct, Lake Ronkonkoma, NY 11779-1982 | 2015-07-02 |
| 1578974184 | Anthony Martino | Recreation Therapist | 26041 73rd Ave, Glen Oaks, NY 11004-1029 | 2014-05-16 |
| 1316213796 | Marianne Pastorella | Recreation Therapist | 26200 Red Tail Ln, Evans Mills, NY 13637-3436 | 2012-03-29 |
| 1942574165 | Sanya Williams | Recreation Therapist | 832 Grand Terrace Ave, North Baldwin, NY 11510-1423 | 2012-03-06 |
| 1558686642 | Janice Gully | Recreation Therapist | 82 Meadowmere Ave, Mastic, NY 11950-4606 | 2010-03-31 |
| 1265626485 | G Ruyack | Recreation Therapist | 2094 Albany Post Road Rt 9a, Montrose, NY 10548-0100 | 2007-08-30 |
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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.