WENDY D'AVELLA (NPI# 1891879730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891879730 |
| Entity Type | Individual |
| Full Name | WENDY D'AVELLA |
| Practice Address |
4164 Route 2 Cropseyville NY 12052 |
| Mailing Address |
711 Troy Schenectady Rd Suite 201 Latham NY 12110-2442 |
| Practice Telephone | 5182130450 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F331372 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02632328 | 05 |
| Street Address |
4164 ROUTE 2 |
| City | CROPSEYVILLE |
| State | NY |
| Zip Code | 12052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487620589 | Susan P Opar | Family Medicine | 4164 Route 2, Cropseyville, NY 12052 | 2006-02-27 |
| 1184173635 | Anneliese Provost | Nurse Practitioner | 4164 Route 2, Cropseyville, NY 12052 | 2016-09-26 |
| 1043593890 | Community Care Physicians, PC | Family Medicine | 4164 Route 2, Cropseyville, NY 12502 | 2011-09-27 |
| 1619051471 | Paul Menge | Family Medicine | 4164 Route 2, Cropseyville, NY 12052 | 2006-10-25 |
| 1326122185 | Robert Marshall | Family Medicine | 4164 Route 2, Cropseyville, NY 12052 | 2006-10-25 |
| 1962586727 | Richard Orsi | Family Medicine | 4164 Route 2, Cropseyville, NY 12052 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013157874 | Brunswick Physical Therapy Pllc | Clinic/Center | 4164 Ny2, Cropseyville, NY 12052 | 2009-03-05 |
| 1134202716 | Peter St. Germain | Physical Medicine & Rehabilitation | 4164 Ny Route 2, Cropseyville, NY 12052 | 2006-10-24 |
| 1174606651 | Paula Ruth Waterbury | Chiropractor | Tamarac Plaza, 3991 Route 2, Cropseyville, NY 12052 | 2006-10-20 |
| 1801012091 | Waterbury Chiropractic | Chiropractor | Tamarac Plaza, 3991 Rte 2, Cropseyville, NY 12052 | 2007-04-17 |
| 1952541096 | Angela S Tomaro | Specialist | 1386 Blue Factory Hill Rd, Cropseyville, NY 12052-3017 | 2009-03-03 |
| 1952565848 | Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | 3991 State Rte 2, Cropseyville, NY 12052-9998 | 2008-07-10 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184173635 | Anneliese Provost | Nurse Practitioner | 4164 Route 2, Cropseyville, NY 12052 | 2016-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | CROPSEYVILLE |
| Zip Code | 12052 |
Please comment or provide details below to improve the information on WENDY D'AVELLA.
| 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.