MARYJO AIDALA


Address: 1658 Central Ave, Albany, NY 12205-4029
Phone: 5184284948

MARYJO AIDALA (NPI# 1992045470) 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) 1992045470
Entity Type Individual
Full Name MARYJO AIDALA
Practice Address 1658 Central Ave
Albany
NY 12205-4029
Practice Telephone 5184284948
Mailing Telephone 5184284948
Enumeration Date 2013-02-21
Last Update Date 2013-02-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 22CA0238513 NY Other Service Providers

Office Location

Street Address 1658 CENTRAL AVE
City ALBANY
State NY
Zip Code 12205-4029

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1518564053 Capital Regional Rx LLC Pharmacy 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 2020-10-07
1548722549 The Alternative Living Group, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 500 New Karner Road, Suite 3, Albany, NY 12205 2019-04-01
1003398439 Sarah Itwaru Social Worker 401 New Karner Road, Albany, NY 12205 2018-09-01
1740708106 Kenneth Cook Physician Assistant 121everett Rd, Albany, NY 12205 2017-09-06
1437691839 Sarah Avery Physical Therapist 5 S Family Dr, Colonie, NY 12205 2016-11-16
1063892776 Olsen Medical Sales, LLC Durable Medical Equipment & Medical Supplies 98 Everett Rd, Albany, NY 12205 2015-06-08
1972921484 Alixandra Joy Foisy Social Worker 42 Oakwood Dr, Albany, NY 12205 2014-04-01
1780015206 The Promptcare Companies Durable Medical Equipment & Medical Supplies 1015c Central Avenue, Albany, NY 12205 2013-12-09
1396088332 Early Childhood Education Center Day Training, Developmentally Disabled Services 251 Washington Ave Extension, Albany, NY 12205 2013-03-28
1487906707 Centerfordisabiltyservices Preferred Provider Organization 5 Keller Street, Albany, NY 12205 2012-10-10
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114428141 Johnae Patrice Galloway Specialist 600 New Scotland Ave, Albany, NY 12208-1928 2018-02-25
1205373917 Nicarro Henderson Specialist 2005 E Dawson Rd, Albany, GA 31707 2017-01-20
1457703217 Rebecca Burke Specialist 113 Krumkill Rd, Albany, NY 12208-1249 2016-07-05
1639535933 Emily Soule Specialist 687 Myrtle Ave, Apt 1, Albany, NY 12208-3711 2016-01-04
1891163903 Anca Rabinowitz Specialist 22a Old Hickory Dr, Apt.2a, Albany, NY 12204-1137 2015-09-04
1609242197 Jaclyn Whitman Specialist 230 Washington Ave Extention, Albany, NY 12203 2015-08-19
1548651706 Katrina Reittinger Specialist 50 Phillip St, Albany, NY 12207 2015-02-10
1700226792 Jeffrey Sansobrino Specialist 1 Rapp Rd # 1, Albany, NY 12203-4491 2013-07-05
1306186739 Kate Ireland Panza Specialist 29 Krug Ct, Albany, NY 12211-1914 2013-02-21
1194079269 Mary D Eaton Specialist 1 Rapp Road, Advanced Therapy P.l.l.c., Albany, NY 12203 2012-10-29
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Competitor

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City ALBANY
Zip Code 12205

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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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