DR. LAVINIA E. PARK (NPI# 1801055041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801055041 |
| Entity Type | Individual |
| Full Name | DR. LAVINIA E. PARK |
| Credential | M.D. |
| Practice Address |
141 Broadway Newburgh NY 12550-6204 |
| Mailing Address |
141 Broadway Newburgh NY 12550 |
| Practice Telephone | 8455685260 |
| Mailing Telephone | 8455685260 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2011-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
243921 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
141 BROADWAY |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-6204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699764647 | Martin Sloane Wolfson | Psychiatry & Neurology | 141 Broadway, Newburgh, NY 12550 | 2005-10-20 |
| 1952900441 | Narda Bailey | Student in an Organized Health Care Education/Training Program | 141 Broadway, Newburgh, NY 12550-6204 | 2020-10-26 |
| 1033731831 | Kimberly Rival | Student in an Organized Health Care Education/Training Program | 141 Broadway, Newburgh, NY 12550-6204 | 2020-05-14 |
| 1891330502 | Janet Ogunlade | Social Worker | 141 Broadway, Newburgh, NY 12550-6204 | 2019-11-18 |
| 1740831361 | Taylor Keller | Student in an Organized Health Care Education/Training Program | 141 Broadway, Newburgh, NY 12550-6204 | 2019-09-25 |
| 1962051854 | Liridona Gjokaj | Student in an Organized Health Care Education/Training Program | 141 Broadway, Newburgh, NY 12550-6204 | 2019-09-04 |
| 1700433430 | Patrick Efui Tamakloe | Licensed Practical Nurse | 141 Broadway, Newburgh, NY 12550-6204 | 2019-08-19 |
| 1477023620 | Heather Debenedetto | Social Worker | 141 Broadway, Newburgh, NY 12550-6204 | 2018-11-30 |
| 1154784262 | Jessica Pamela Lesmana | Social Worker | 141 Broadway, Newburgh, NY 12550-6204 | 2016-04-05 |
| 1356692453 | Heather Fitzharris | Social Worker | 141 Broadway, Newburgh, NY 12550-6204 | 2012-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184180796 | Health Quest Medical Practice, PC | Psychiatry & Neurology | 313 S William St Ste 1, Newburgh, NY 12550-5300 | 2019-02-19 |
| 1306919337 | Constantine B Vardopoulos | Psychiatry & Neurology | 141 Dogwood Ln, Newburgh, NY 12550-2027 | 2006-11-16 |
| 1679668719 | Naeem Aftab | Psychiatry & Neurology | 3 Winding Lane, Newburgh, NY 12550 | 2006-10-04 |
| 1558455832 | Todd Alvin Rochman | Psychiatry & Neurology | 400 Stony Brook Ct 1, Newburgh, NY 12550-6522 | 2006-10-03 |
| 1568430262 | Michael Edward Doyle | Psychiatry & Neurology | 70 Dubois St, 5th Floor, St. Luke's Cornwall Hospital, Newburgh, NY 12550 | 2006-03-09 |
| 1699764647 | Martin Sloane Wolfson | Psychiatry & Neurology | 141 Broadway, Newburgh, NY 12550 | 2005-10-20 |
| 1013200138 | Ryan Daniel Meshulam | Psychiatry & Neurology | 147 Lake St, Newburgh, NY 12550 | 2011-05-23 |
| 1235360058 | Michael Arisa | Psychiatry & Neurology | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2009-07-28 |
| 1053454413 | Louis Byron Cady | Psychiatry & Neurology | 4727 Rosebud Ln, Suite F, Newburgh, IN 47630-9225 | 2007-02-15 |
| 1295875714 | Salil Kathpalia | Psychiatry & Neurology | 633 Gidney Ave, Ste 5, Newburgh, NY 12550-2805 | 2007-02-07 |
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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.