AVERY IUDICE (NPI# 1972116978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972116978 |
| Entity Type | Individual |
| Full Name | AVERY IUDICE |
| Credential | PA-S |
| Practice Address |
116 Morgan St Apt 238a Stamford CT 06905-5441 |
| Practice Telephone | 9786972420 |
| Mailing Telephone | 9786972420 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | CT | Student, Health Care |
| Street Address |
116 MORGAN ST APT 238A |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-5441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
| 1245889096 | Anna Diamantis | Counselor | 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 | 2019-09-04 |
| 1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
| 1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
| 1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
| 1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
| 1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
| 1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
| 1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| Find all providers in zip 06905 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548899966 | Jeffry Michael Velky | Student in an Organized Health Care Education/Training Program | 1201 Washington Blvd Apt 314, Stamford, CT 06902-2490 | 2020-04-07 |
| 1356801898 | Michelle Paige Greenman | Student in an Organized Health Care Education/Training Program | 147 Dogwood Ct, Stamford, CT 06903-4500 | 2019-03-21 |
| 1699197822 | Stephanie Joss Serpa | Student in an Organized Health Care Education/Training Program | 247 Soundview Ave, Stamford, CT 06902-7016 | 2014-01-07 |
| 1043646789 | Caroline S Blair | Student in an Organized Health Care Education/Training Program | 32 Strawberry Hill Ct., Suite 4, Stamford, CT 06902 | 2013-09-25 |
| 1568787760 | Adaobi Nnenna Kurylov | Student in an Organized Health Care Education/Training Program | 824 Hope St # A, Stamford, CT 06907-2527 | 2010-03-30 |
| 1619128469 | Alexander Luke Buls | Student in an Organized Health Care Education/Training Program | 120 Strawberry Hill Ave Apt 214, Stamford, CT 06902-2768 | 2008-10-09 |
| 1891950382 | Gerald Fung | Student in an Organized Health Care Education/Training Program | 1351 Washington Boulevard, 4th Floor, Stamford Hospital Family Medicine Residency Program, Stamford, CT 06902 | 2008-07-23 |
| 1730708587 | Lauren Page | Student in an Organized Health Care Education/Training Program | 1 Hospital Plz, Stamford, CT 06902-3602 | 2020-04-13 |
| 1437788692 | Marie Sullivan | Student in an Organized Health Care Education/Training Program | 1 Hospital Plz, Stamford, CT 06902-3602 | 2020-04-08 |
| 1144859364 | Kristen Langan | Student in an Organized Health Care Education/Training Program | 1 Hospital Plz, Stamford, CT 06902-3602 | 2020-04-08 |
| Find all providers in STAMFORD | ||||
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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.