MR. DORIAN EDWARD POOLE


Address: 8149 242 St, Queens, NY 11426
Phone: 7183474905

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 8149 242 ST
City QUEENS
State NY
Zip Code 11426

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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
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Taxonomy Information

Taxonomy Code 103TP2701X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Group Psychotherapy

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: modified title]

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1013430560 Sabrina M Jhanwar Psychologist 333 E 43rd St Ofc 1, New York, NY 10017-4831 2017-07-17
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
1083835953 Associates In Psychotherapy Psychologist 135 E 50 St, Suite 106, Nyc, NY 10022 2007-05-01
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Competitor

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City QUEENS
Zip Code 11426

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Dataset Information

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.

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