FALLON ANDREA CUNNINGHAM (NPI# 1952813727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952813727 |
| Entity Type | Individual |
| Full Name | FALLON ANDREA CUNNINGHAM |
| Credential | DDS |
| Practice Address |
3411 Vernon Blvd Long Island City NY 11106-5121 |
| Mailing Address |
8956 162nd St Fl 3 Jamaica NY 11432-5072 |
| Practice Telephone | 3476308401 |
| Mailing Telephone | 7186571100 |
| Mailing Fax Number | 7186571870 |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 060687 | NY | Dental Providers |
| Street Address |
3411 VERNON BLVD |
| City | LONG ISLAND CITY |
| State | NY |
| Zip Code | 11106-5121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790844520 | Phoenix House Foundation | Substance Abuse Rehabilitation Facility | 3411 Vernon Blvd, Long Island City, NY 11106-5121 | 2006-12-07 |
| 1144830233 | Rebecca Elfriede Doyle | Nurse Practitioner | 3411 Vernon Blvd, Long Island City, NY 11106-5121 | 2020-08-04 |
| 1619415288 | Damian Family Care Center, Inc. | Clinic/Center | 3411 Vernon Blvd, Long Island City, NY 11106-5121 | 2017-02-03 |
| 1639239494 | Amy Phillips | Physician Assistant | 3411 Vernon Blvd, Long Island City, NY 11106-5121 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492303 | Faizal Hussein | Physical Therapist | 3244 31st Street, Queens, NY 11106 | 2020-09-18 |
| 1730706086 | Stephanie J Coleman | Counselor | Enable My Child, 3545 28 St, Astoria, NY 11106 | 2020-07-02 |
| 1144870056 | Theresa Pizinger | Nurse Practitioner | 3157 31st St, Phf, Long Island City, NY 11106 | 2019-09-13 |
| 1881164564 | Adam Christopher Maslowski | Social Worker | 34-11 Vernon Blvd., Long Island City, NY 11106 | 2018-11-26 |
| 1730675273 | Astoria Dental Broadway | Dentist | 31-72 31st St, Suite #1, Astoria, NY 11106 | 2018-07-09 |
| 1225552037 | Joslynn Ramos | Social Worker | 14-15 Broadway, Astoria, NY 11106 | 2017-08-02 |
| 1790208791 | Sheilla Jean Baptiste Hadid | Prevention Professional | 34 59 Vernon Blvd Apt 1f, Astoria, NY 11106 | 2017-07-21 |
| 1396267225 | Serena Cisneros | Counselor | 34-25 Vernon Blvd, Long Island City, NY 11106 | 2017-07-12 |
| 1538689302 | Dara Michelle Lazar | Massage Therapist | 14-17 31st Avenue, Apt 2b, Astoria, NY 11106 | 2017-06-22 |
| 1093241143 | Kimlong Chan | Student in an Organized Health Care Education/Training Program | 2320 31st Avenue, Astoria, NY 11106 | 2017-05-11 |
| Find all providers in zip 11106 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474489 | Young Hwan Kim | Dentist | 511 47th Ave Apt 4k, Long Island City, NY 11101-5963 | 2020-07-07 |
| 1295274058 | Tasha Vo | Dentist | 37-30 Review Avenue, Suite 102, Long Island City, NY 11101 | 2017-02-13 |
| 1740642826 | Julia K Jeong | Dentist | 201 50th Ave Apt 12g, Long Island City, NY 11101-5773 | 2016-03-28 |
| 1326301516 | John N. Keriazes, D.d.s., P.C. | Dentist | 31-10 37 Avenue, Suite 507, Long Island City, NY 11101 | 2012-06-21 |
| 1083892269 | John N. Keriazes | Dentist | 3110 37th Ave, Suite 305, Long Island City, NY 11101-2102 | 2008-02-10 |
| 1184823122 | Gabriel Bogdan Ionescu | Dentist | 41-11 Queens Blvd, Long Island City, NY 11104 | 2007-07-11 |
| 1912099730 | Luisa M Costelloe | Dentist | 40-16 Astoria Blvd, Long Island City, NY 11103 | 2006-09-29 |
| 1710079694 | Shawn Salehezadeh | Dentist | 4104 27th St Lowr Level, Long Island City, NY 11101-4949 | 2006-09-29 |
| 1992814149 | Scott Ronald Sherrin | Dentist | 3180 38th St, Long Island City, NY 11103-3945 | 2006-08-30 |
| 1497734651 | Nicolae Veresmortean | Dentist | 4750 41st St, 1f, Long Island City, NY 11104-3648 | 2006-01-15 |
| Find all providers in LONG ISLAND CITY | ||||
| City | LONG ISLAND CITY |
| Zip Code | 11106 |
Please comment or provide details below to improve the information on FALLON ANDREA CUNNINGHAM.
| 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.