JACLYN PETRASANTA (NPI# 1851803563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851803563 |
| Entity Type | Individual |
| Full Name | JACLYN PETRASANTA |
| Practice Address |
14245 58th Rd Flushing NY 11355-5310 |
| Practice Telephone | 2032419133 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
2838236 | NY | Behavioral Health & Social Service Providers |
| Street Address |
14245 58TH RD |
| City | FLUSHING |
| State | NY |
| Zip Code | 11355-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578869160 | Anna Rosenthal | Speech-Language Pathologist | 14245 58th Rd, Flushing, NY 11355-5310 | 2011-01-31 |
| 1669833042 | Megan Noonan | Counselor | 14245 58th Rd, Flushing, NY 11355-5310 | 2016-03-14 |
| 1285057885 | Jeffrey Smith | Counselor | 14245 58th Rd, Flushing, NY 11355-5310 | 2014-02-03 |
| 1750704003 | Anita Khemai-ramasar | Contractor | 14245 58th Rd, Flushing, NY 11355-5310 | 2014-01-22 |
| 1861814725 | Marisa Como | Social Worker | 14245 58th Rd, Flushing, NY 11355-5310 | 2014-01-13 |
| 1437571494 | Jennifer Keenan | Psychologist | 14245 58th Rd, Flushing, NY 11355-5310 | 2014-01-10 |
| 1720400765 | Phyllis Dinatale | Speech-Language Pathologist | 14245 58th Rd, Flushing, NY 11355-5310 | 2014-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
| 1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
| 1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
| 1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
| 1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
| 1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
| 1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
| 1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
| 1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
| 1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
| Find all providers in zip 11355 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821410754 | Biata Fridman | Counselor | 7057a Park Dr E, Flushing, NY 11367-1951 | 2014-01-12 |
| 1689946089 | Debra Radzik-herstein | Counselor | 14147 70th Rd, Flushing, NY 11367-1936 | 2012-01-31 |
| 1457665655 | Judith Eve Neuman | Counselor | 137-23 71st Avenue, Flushing, NY 11367-1938 | 2010-07-29 |
| 1669833042 | Megan Noonan | Counselor | 14245 58th Rd, Flushing, NY 11355-5310 | 2016-03-14 |
| 1285057885 | Jeffrey Smith | Counselor | 14245 58th Rd, Flushing, NY 11355-5310 | 2014-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659291 | Massiel Vasquez | Counselor | 590 Avenue of The Americas Fl 12, New York, NY 10011-2022 | 2020-11-06 |
| 1396342002 | Buffalo Guidance Group | Counselor | 475 Ellicott St Ste 105, Buffalo, NY 14203-1531 | 2020-10-06 |
| 1912514902 | Valerie Anne Conley | Counselor | 475 Elllicott St., Buffalo, NY 14203 | 2020-09-24 |
| 1528674884 | Bella Avulova | Counselor | 7329 173rd St, Fresh Meadows, NY 11366-1429 | 2020-09-21 |
| 1114545191 | Nicole Byrne-navarro | Counselor | 128 Park Row Ste 1000, Cadyville, NY 12918-2817 | 2020-07-07 |
| 1558993543 | Kalya Castillo | Counselor | 69 Maple St Apt 1, Dobbs Ferry, NY 10522-4114 | 2020-02-07 |
| 1730710112 | Devika Llolanda Vigilance | Counselor | 1228 E 84th St Fl 1, Brooklyn, NY 11236-4912 | 2020-02-04 |
| 1821647652 | Andrew Brook | Counselor | 108 Hollyhock Rd, Levittown, NY 11756-2423 | 2019-09-04 |
| 1881242469 | Vanessa Ramirez | Counselor | 250 W Merrick Rd Apt 1b, Freeport, NY 11520-3311 | 2019-08-28 |
| 1578110938 | Ariana Schiano | Counselor | 89 Ontario Ave, Massapequa, NY 11758-3934 | 2019-08-21 |
| 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.