BRIANNA FAVA (NPI# 1851586408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851586408 |
| Entity Type | Individual |
| Full Name | BRIANNA FAVA |
| Credential | PH.D. |
| Practice Address |
45 Route 25a Ste A2 Shoreham NY 11786-1389 |
| Mailing Address |
6 Sunset Ln E Miller Place NY 11764-1644 |
| Practice Telephone | 6316553021 |
| Mailing Telephone | 6316553021 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2012-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
019661 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NPI NUMBER | 1285628552 | 01 |
| NY | 00355940 | 05 |
| Street Address |
45 ROUTE 25A STE A2 |
| City | SHOREHAM |
| State | NY |
| Zip Code | 11786-1389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457463598 | Mary Lee Hasbrouck | Social Worker | 45 Route 25a Ste A2, Shoreham, NY 11786-1389 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831600816 | Lisa Wolf | Social Worker | 45 Route 25, Suite A-2, Shoreham, NY 11786 | 2017-10-18 |
| 1245672476 | Eric Brett Salmonson | Dentist | 47 N. Country Rd., Shoreham, NY 11786 | 2013-07-30 |
| 1275841165 | Kaitlyn Elizabeth Boulukos | Speech-Language Pathologist | 3 Miller Avenue, Shoreham, NY 11786 | 2010-09-14 |
| 1659694123 | Nimisha P Joshi | Pharmacist | 2 Villa Street, Shoreham, NY 11786 | 2010-03-11 |
| 1720300148 | Rita J Shah | Pharmacist | 99-1 Route 25a, Shoreham, NY 11786 | 2010-02-26 |
| 1619299070 | Jayesh K Shah | Pharmacist | 99-1 Rte 25a, Shoreham, NY 11786 | 2010-02-25 |
| 1922250802 | Julianne Marie Smith | Registered Nurse | 45 Rt 25a Suite C, Shoreham, NY 11786 | 2008-10-22 |
| 1326290438 | John M. Aloisio | Dentist | 2 Southgate, Shoreham, NY 11786 | 2008-10-21 |
| 1639345366 | Dawn M Mineo | Nutritionist | 8 Cornell Rd, Shoreham, NY 11786 | 2008-05-02 |
| 1780871103 | Linda Marie Spallina | Social Worker | 9 South Trl, Shoreham, NY 11786 | 2007-09-30 |
| Find all providers in zip 11786 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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| 1396346060 | Alexandra Hittman | Psychologist | 26 Palisade St, Dobbs Ferry, NY 10522-2107 | 2020-11-07 |
| 1184225849 | Linda L Street | Psychologist | 165 Saint Regis Dr, Massapequa Park, NY 11762-3454 | 2020-11-07 |
| 1063012318 | Inga Korsgaard | Psychologist | 233 Broadway Rm 850, New York, NY 10279-0800 | 2020-10-27 |
| 1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
| 1760081830 | Meagan Ryan | Psychologist | 1 3rd Ave Apt 516, Mineola, NY 11501-4340 | 2020-10-20 |
| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
| 1558968842 | Ethan Eisen | Psychologist | 107 Lakeside Dr E, Lawrence, NY 11559-1718 | 2020-10-08 |
| 1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
| 1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.