ETHELYN SO


Address: 270-05 76th Avenue, New Hyde Park, NY 11040
Phone: 7184705370

ETHELYN SO (NPI# 1841626579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841626579
Entity Type Individual
Full Name ETHELYN SO
Credential NP
Practice Address 270-05 76th Avenue
New Hyde Park
NY 11040
Practice Telephone 7184705370
Enumeration Date 2013-09-26
Last Update Date 2019-06-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 585086-1 NY Nursing Service Providers
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
F430738-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 270-05 76TH AVENUE
City NEW HYDE PARK
State NY
Zip Code 11040

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427054659 Craig Merola Anesthesiology 270-05 76th Avenue, Department of Anesthesia, New Hyde Park, NY 11040 2005-06-22
1124648530 Ellen Pham Student in an Organized Health Care Education/Training Program 270-05 76th Avenue, Research Building C Level Room 039ab N, New Hyde Park, NY 11040 2020-04-26
1922637669 Jasmin Neal Student in an Organized Health Care Education/Training Program 270-05 76th Avenue, Research Bldg, C Level Room 039ab, New Hyde Park, NY 11040 2020-04-04
1346803236 Remi Minh Khang Le Student in an Organized Health Care Education/Training Program 270-05 76th Avenue, New Hyde Park, NY 11040 2019-04-17
1003378852 Oliver Standring Student in an Organized Health Care Education/Training Program 270-05 76th Avenue, Victoria Wrathe, Research Building- C Level Room 039ab, New Hyde Park, NY 11040 2019-04-02
1306320080 Tanya J Thakur Physician Assistant 270-05 76th Avenue, New Hyde Park, NY 11040 2018-09-19
1023513231 Michael Quinn Student in an Organized Health Care Education/Training Program 270-05 76th Avenue, New Hyde Park, NY 11040 2018-03-28
1407350796 Kristen Zaffuto Registered Nurse 270-05 76th Avenue, Oncology Building, New Hyde Park, NY 11040-1402 2018-03-21
1063950384 Kason Wan Physician Assistant 270-05 76th Avenue, New Hyde Park, NY 11040-1402 2017-02-07
1275920720 Jeffrey Deygoo Student in an Organized Health Care Education/Training Program 270-05 76th Avenue, New Hyde Park, NY 11040 2015-04-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598366734 Naurin Shaki Case Management 108 Bryant Ave, New Hyde Park, NY 11040 2020-11-04
1326645920 Oksana Isakharov Marriage & Family Therapist Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 2020-10-06
1639784036 Michelle Edith Narain Nurse Practitioner 270-05 76th Aveune, New Hyde Park, NY 11040 2020-09-11
1124636188 Shannon Maureen O'connell Physician Assistant 270-05 270th Ave, New Hyde Park, NY 11040 2020-07-16
1851929384 Hollie Brown Student in an Organized Health Care Education/Training Program 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 2020-03-30
1780211797 Miriam Tarrash Student in an Organized Health Care Education/Training Program Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 2020-03-27
1902438971 Kristina Petrich Student in an Organized Health Care Education/Training Program Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 2020-02-07
1528622735 David Olatunji Omole Dentist 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 2019-04-24
1720642093 Thanzina Chowdhury Pharmacy 271-11 76th Ave, Queens, NY 11040 2019-04-23
1427519834 Connor William Crowley Student in an Organized Health Care Education/Training Program Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 2019-03-28
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659862902 Holly L Musetti Nurse Practitioner 3003 New Hyde Park Rd Ste 401, New Hyde Park, NY 11042-1214 2018-05-22
1639789316 Bindhu Cherian George Nurse Practitioner 27005 76th Ave, New Hyde Park, NY 11040-1496 2020-08-06
1841809845 Brianne Catherine Smith Nurse Practitioner 27005 76th Ave, New Hyde Park, NY 11040-1402 2020-07-24
1013535137 Steven A Jones Nurse Practitioner 27005 76th Ave, New Hyde Park, NY 11040-1402 2020-07-07
1508484635 Joan Catherine Mahoney Nurse Practitioner 27005 76th Ave, New Hyde Park, NY 11040-1402 2020-07-06
1609493733 Beata Podgorski Nurse Practitioner 27005 76th Ave, New Hyde Park, NY 11040-1496 2020-07-06
1851922876 Seunghyun Kim Nurse Practitioner 27005 76th Ave, New Hyde Park, NY 11040-1402 2020-01-29
1790321941 Christy John Nurse Practitioner 1 Hollow Ln Ste 102, New Hyde Park, NY 11042-1219 2019-11-22
1366099319 Ariel F Dominguez Nurse Practitioner 27005 76th Ave, New Hyde Park, NY 11040-1402 2019-08-23
1306490180 Kiplin Tony Gordon Nurse Practitioner 27005 76th Ave, New Hyde Park, NY 11040-1496 2019-07-30
Find all providers in NEW HYDE PARK

Competitor

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City NEW HYDE PARK
Zip Code 11040

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Dataset Information

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.

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