DR. LUCA GILIBERTO (NPI# 1891082632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891082632 |
| Entity Type | Individual |
| Full Name | DR. LUCA GILIBERTO |
| Credential | MD, PHD |
| Practice Address |
611 Northern Blvd Ste 150, North Shore-lij-cushing Neuroscience Institute Great Neck NY 11021-5207 |
| Mailing Address |
300 Community Dr North Shore-lij-cushing Neuroscience Institute-9 Tower Manhasset NY 11030-3816 |
| Practice Telephone | 5163257000 |
| Practice Fax Number | 5163257001 |
| Mailing Telephone | 5165623029 |
| Mailing Fax Number | 5165623631 |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2020-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
276460 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
276460 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
611 NORTHERN BLVD STE 150, NORTH SHORE-LIJ-CUSHING NEUROSCIENCE INSTITUTE |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021-5207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598739989 | Thomas Michael Mauri | Orthopaedic Surgery | 611 Northern Blvd, Suite 200, Great Neck, NY 11021-5207 | 2006-02-14 |
| 1881293231 | Sini Varghese | Nurse Practitioner | 611 Northern Blvd, Great Neck, NY 11021-5207 | 2020-10-17 |
| 1629550769 | Alexandra Marie Mezzanotte | Physician Assistant | 611 Northern Blvd, Great Neck, NY 11021-5207 | 2018-09-05 |
| 1740637362 | Yael Cukier | Clinical Neuropsychologist | 611 Northern Blvd, Suite 150, Great Neck, NY 11021-5207 | 2016-05-24 |
| 1811356082 | Sheila Manzoor | Physician Assistant | 611 Northern Blvd, Suite 200, Great Neck, NY 11021-5207 | 2016-02-16 |
| 1083070320 | Richard T Miller Dmd PC | Dentist | 611 Northern Blvd, Great Neck, NY 11021-5207 | 2015-12-31 |
| 1386085082 | Tara Marie Vanderburg | Physician Assistant | 611 Northern Blvd, Suite 200, Great Neck, NY 11021-5207 | 2013-07-10 |
| 1013270230 | Sohrab Virk | General Practice | 611 Northern Blvd, Great Neck, NY 11021-5207 | 2012-06-21 |
| 1972896629 | Lorrelei Ann Paires | Dentist | 611 Northern Blvd, Suite 100, Great Neck, NY 11021-5207 | 2011-05-26 |
| 1083906192 | Erica Colligan | Psychiatry & Neurology | 611 Northern Blvd, Suite 150, Great Neck, NY 11021-5207 | 2011-05-07 |
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| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
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| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912537564 | Naira Ambarian Medical PC | Psychiatry & Neurology | 107 Northern Blvd, Great Neck, NY 11021-4311 | 2020-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029411 | Eric Spronz, Psychiatric Nurse Practitioner P.C. | Psychiatry & Neurology | 2539 Middle Country Rd Ste 4, Centereach, NY 11720-3503 | 2020-09-29 |
| 1649668724 | Sherry Eros | Psychiatry & Neurology | 1802 State Route 52, Liberty, NY 12754-8306 | 2014-12-25 |
| 1215279468 | Bizhan M Nia | Psychiatry & Neurology | 601 Seney Ave, Mamaroneck, NY 10543-4426 | 2013-03-25 |
| 1255444147 | Joann Sciacca | Psychiatry & Neurology | 150 Elwood Ave, Hawthorne, NY 10532-2346 | 2006-08-16 |
| 1497308548 | Neurosciences Healthcare Medicine, PC | Psychiatry & Neurology | 122 W Main St, Endicott, NY 13760-4772 | 2019-07-18 |
| 1033574009 | John C Marino, Md | Psychiatry & Neurology | 3180 West St, Canandaigua, NY 14424-1722 | 2015-12-17 |
| 1821485129 | Seaview Psychiatry Partners PC | Psychiatry & Neurology | 500 Seaview Ave, Suite 200a, Staten Island, NY 10305-3421 | 2015-04-24 |
| 1821418625 | Neil Zolkind, Md PC | Psychiatry & Neurology | 150 White Plains Rd Ste 102, 150 White Plains Road, Suite # 102, Tarrytown, NY 10591-5521 | 2014-04-18 |
| 1982021440 | Southern Dutchess Psychiatric Consultation Pllc | Psychiatry & Neurology | 1285 Route 9, Suite #7, Wappingers Falls, NY 12590-4993 | 2014-03-23 |
| 1659622710 | Vitality Physicians Group | Psychiatry & Neurology | 135 Woodlawn Ave, Albany, NY 12208-2912 | 2012-09-28 |
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| City | GREAT NECK |
| Zip Code | 11021 |
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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.