MR. DORIAN EDWARD POOLE (NPI# 1891981403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891981403 |
Entity Type | Individual |
Full Name | MR. DORIAN EDWARD POOLE |
Credential | LCSW R5808 NY |
Practice Address |
8149 242 St Queens NY 11426 |
Mailing Address |
8149 242 St Bellerose NY 11426 |
Practice Telephone | 7183474905 |
Mailing Telephone | 7183474905 |
Enumeration Date | 2007-09-18 |
Last Update Date | 2007-09-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
R5808 | NY | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
R5808 | NY | Behavioral Health & Social Service Providers |
Street Address |
8149 242 ST |
City | QUEENS |
State | NY |
Zip Code | 11426 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851940597 | Shanti Niketan Inc | Clinic/Center | 236-03 Braddock, Shantiniketan - A Senior Day Care Center, Bellerose, NY 11426 | 2019-09-05 |
1558919779 | Azalea Andrews | Licensed Practical Nurse | 86-19 232nd Street, Bellrose, NY 11426 | 2019-08-30 |
1477041887 | Danielle Festa | Behavioral Analyst | 245-48b 76th Ave, Bellerose, NY 11426 | 2018-05-01 |
1740706654 | Nusaiba Ally | Speech-Language Pathologist | 252-12 72nd Ave, Jamaica, NY 11426 | 2017-08-22 |
1417472978 | Bernard Mateo Lapuz | Registered Nurse | 88-12 238th St, Bellerose, NY 11426 | 2017-08-06 |
1871034181 | Audrey Mejia | Registered Nurse | 242-16 93rd Ave, Bellerose, NY 11426 | 2017-03-20 |
1841742962 | Renee Hamilton-beckford | Health Educator | 9208 242 Street, Floor 3, Bellerose, NY 11426 | 2016-10-25 |
1841749546 | Anne Spencer | Registered Nurse | 247-35b 77th Cres., Bellerose, NY 11426 | 2016-09-23 |
1801260617 | Braddock Pharmacy LLC | Hospice Care, Community Based | 236-01a Braddock Ave., Bellerose, NY 11426 | 2015-11-17 |
1033505540 | Bellerose Rx Inc | Pharmacy | 248-15 Union Turnpike, Bellerose, NY 11426 | 2015-04-10 |
Find all providers in zip 11426 |
Taxonomy Code | 103TP2701X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Group Psychotherapy |
Definition to come... |
Notes: [1/1/2007: modified title] |
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1386004273 | Lauren Saltus | Psychologist | 1115 Merillon St, Uniondale, NY 11553-1221 | 2016-03-04 |
1437494648 | Medical Practice Ny PC | Psychologist | 6923 168th St, Fresh Meadows, NY 11365-3213 | 2012-11-29 |
1215115431 | Eric Niles Weissman | Psychologist | 18 Scotchtown Ave, Goshen, NY 10924 | 2008-02-11 |
1073734349 | Pearl A Weinstein | Psychologist | 35 Hillside Road, Farmingdale, NY 11735-1917 | 2007-05-02 |
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1215053038 | Judith F Gruber | Psychologist | 141 Joralemon St Apt 2b, Brooklyn, NY 11201-4010 | 2007-03-22 |
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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.