MR. MICHAEL DANIEL TAURIELLO (NPI# 1811070428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811070428 |
Entity Type | Individual |
Full Name | MR. MICHAEL DANIEL TAURIELLO |
Credential | PA |
Practice Address |
205 Froehlich Farm Blvd Woodbury NY 11797-2931 |
Mailing Address |
14 Chauncey Ln Coram NY 11727-3502 |
Practice Telephone | 5163640070 |
Mailing Telephone | 6313794313 |
Enumeration Date | 2006-10-24 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
010351-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
205 FROEHLICH FARM BLVD |
City | WOODBURY |
State | NY |
Zip Code | 11797-2931 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265479216 | Salvatore J Corso | Orthopaedic Surgery | 205 Froehlich Farm Blvd, Woodbury, NY 11797-2931 | 2006-05-31 |
1770040651 | Erica Glassmann | Physical Therapist | 205 Froehlich Farm Blvd, Woodbury, NY 11797-2931 | 2019-02-27 |
1871670802 | Orthopaedic and Sports Associates of Long Island, PC | Orthopaedic Surgery | 205 Froehlich Farm Blvd, Woodbury, NY 11797-2931 | 2006-11-01 |
1205937919 | Lee Matthew Kupersmith | Orthopaedic Surgery | 205 Froehlich Farm Blvd, Woodbury, NY 11797-2931 | 2006-09-26 |
1184647497 | John J Leppard | Orthopaedic Surgery | 205 Froehlich Farm Blvd, Woodbury, NY 11797-2931 | 2006-07-26 |
1043253487 | Jeffrey Guttman | Orthopaedic Surgery | 205 Froehlich Farm Blvd, Woodbury, NY 11797-2931 | 2006-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508480757 | Melissa Beth Goldstein | Social Worker | 69 Aspen Drive West, Woodbury, NY 11797 | 2020-06-03 |
1023654985 | Stephanie Silberman | Social Worker | 136 Woodbury Rd Ste 103, Woodbury, NY 11797 | 2019-11-25 |
1225692304 | Patricia L Topper | Technician/Technologist | Optics Plus, 8285 Jericho Tpke, Woodbury, NY 11797 | 2019-04-24 |
1972040715 | Vicki Stogiannos | Counselor | 136 Woodbury Rd Ste L4, Woodbury, NY 11797 | 2017-01-31 |
1801225917 | Melissa Messer | Early Intervention Provider Agency | 108 Chestnut Lane, Woodbury, NY 11797 | 2013-11-08 |
1205174497 | Town Total Health, LLC | Pharmacy | 415 Crossways Park Drive, Suite A, Woodbury, NY 11797 | 2013-01-22 |
1750644878 | Shahrzad Bagheri | Specialist | 322 Anchorage Drive, Woodbury, Woodbury, New York, NY 11797 | 2012-06-22 |
1700171865 | Town Total Compounding Centers, LLC | Pharmacy | 415 Crossways Park Dr, Suite B, Woodbury, NY 11797 | 2011-06-16 |
1023316247 | Marnie Marissa Morabito | Speech-Language Pathologist | 72 Southwoods Road, Woodbury, NY 11797 | 2011-03-11 |
1114229838 | Malcolm Berger | Physical Therapy Assistant | 122 Southwoods Rd, Woodbury, NY 11797 | 2010-12-01 |
Find all providers in zip 11797 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902041536 | James D Fulginiti | Physician Assistant | 603 North Broad Steet, Craig H. Rosen, M.d.,p.a., Woodbury, NJ 08096 | 2008-12-11 |
1043270952 | David Preston Law | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2006-03-24 |
1720057334 | Mary C Aschenbrener | Physician Assistant | 215 Radio Dr Ste 100, Woodbury, MN 55125-5817 | 2006-03-16 |
1063057628 | Margaret Faust | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2019-11-07 |
1306404835 | Madison Lee Haus | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2019-05-30 |
1740844794 | Maren Fiscus | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2019-04-25 |
1962965848 | Molly Michelle Mullee | Physician Assistant | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2019-04-09 |
1013458009 | Abby Mohr | Physician Assistant | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2017-03-10 |
1497135172 | Natasha Harr | Physician Assistant | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2015-06-08 |
1851795827 | Megan Anne Heck | Physician Assistant | 2090 Woodwinds Dr, Woodbury, MN 55125-4925 | 2014-10-20 |
Find all providers in WOODBURY |
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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.