MRS. JEANINE MARY HAKANSON


Address: 410 Pendale St, Staten Island, NY 10306-4040
Phone: 9176098094

MRS. JEANINE MARY HAKANSON (NPI# 1932333283) 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) 1932333283
Entity Type Individual
Full Name MRS. JEANINE MARY HAKANSON
Credential P.T.
Practice Address 410 Pendale St
Staten Island
NY 10306-4040
Practice Telephone 9176098094
Mailing Telephone 9176098094
Enumeration Date 2009-05-14
Last Update Date 2011-07-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251P0200X Physical Therapist
Specialization: Pediatrics
017663 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 410 PENDALE ST
City STATEN ISLAND
State NY
Zip Code 10306-4040

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1124489638 Prospect Kids, LLC Early Intervention Provider Agency 21 Kayla Court, Staten Island, NY 10306 2016-03-10
1124498407 Tatyana Kateva Registered Nurse 1975 Hylan Blvd Suite 1, Staten Island, NY 10306 2015-09-30
1336536275 Natallia Verbitsky Occupational Therapist 165 Twombly Ave, Staten Island, NY 10306 2015-04-17
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Taxonomy Information

Taxonomy Code 2251P0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417404310 Amanda Percaccio Physical Therapist 1931 Richmond Ave # 203, Staten Island, NY 10314-3889 2016-09-08
1447673025 Theresa Hakeem Physical Therapist 223 Bradley Ave # 2, Staten Island, NY 10314-5166 2014-02-02
1265708077 Juvy Rivera Physical Therapist 140 Palma Dr, Staten Island, NY 10304-3400 2012-03-26
1730454745 Ofira Furhang Physical Therapist 144 Keating Pl, Staten Island, NY 10314-6145 2012-03-09
1508174673 Jill Conlon Physical Therapist 73 Woodvale Ave, Staten Island, NY 10309-3520 2010-09-22
1447567821 Patricia Catanzaro Physical Therapist 3651 Richmond Rd, Staten Island, NY 10306-1434 2010-09-08
1447563531 Jennifer Marie Avallone Physical Therapist 493 Genesee Ave, Staten Island, NY 10312-3205 2010-07-19
1679884076 Camille L'insalata Physical Therapist 2206 Clove Rd, Staten Island, NY 10305-1542 2010-06-30
1063641082 Yelena Fisher Physical Therapist 187 Forest St, Staten Island, NY 10314-3839 2009-07-12
1780813477 Deborah Powell Physical Therapist 300 Lyndale Ave, Staten Island, NY 10312-6127 2009-07-02
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Competitor

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City STATEN ISLAND
Zip Code 10306

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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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