MARY DIANE RADLIFF (NPI# 1831259514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831259514 |
| Entity Type | Individual |
| Full Name | MARY DIANE RADLIFF |
| Credential | ANP |
| Practice Address |
130 Albany Ave Cobleskill NY 12043 |
| Practice Telephone | 5182555225 |
| Practice Fax Number | 5182555819 |
| Mailing Telephone | 5182555225 |
| Mailing Fax Number | 5182555819 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
30-301409 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
130 ALBANY AVE |
| City | COBLESKILL |
| State | NY |
| Zip Code | 12043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265816656 | Schoharie County Community Action Program, Inc | Case Management | 795 East Main Street, Suite 5, Cobleskill, NY 12043 | 2015-07-15 |
| 1215212196 | Kathryn Scott | Physical Therapist | 143 Golding Dr, Ryder Elementary, Cobleskill, NY 12043 | 2011-10-11 |
| 1255633897 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 726 East Main Street, Cobleskill, NY 12043 | 2010-12-02 |
| 1134452675 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 132 Macarthur Dr., Cobleskill, NY 12043 | 2009-09-16 |
| 1164755161 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 45 Five Mile Woods Rd, Catskill, NY 12043 | 2009-09-09 |
| 1407004542 | David M Goodrich I | Pharmacist | 105 Plazza Lane, Price Chopper Pharmacy, Cobleskill, NY 12043 | 2008-09-03 |
| 1891985768 | Thomas W Greenlees | Preventive Medicine | 170 Mineral Springs Road, Box 910, Cobleskill, NY 12043 | 2007-07-27 |
| 1518022375 | Cobleskill-richmondville Central School | Local Education Agency (LEA) | 155 Washington Ave., Cobleskill, NY 12043 | 2006-12-22 |
| 1689748378 | Jay Vickers Dewell Sr. | Family Medicine | 133 Legion Drive, Cobleskill, NY 12043 | 2006-11-17 |
| 1831474600 | Betty Lou Adamovich | Occupational Therapy Assistant | 143 Golding Drive, Cobleskill, NY 12043 | 2011-10-12 |
| Find all providers in zip 12043 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407809957 | B Berenice Dooley | Nurse Practitioner | 121 Legion Dr, Cobleskill, NY 12043-5111 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | COBLESKILL |
| Zip Code | 12043 |
Please comment or provide details below to improve the information on MARY DIANE RADLIFF.
| 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.